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Organization

ONCE UPON A PEDIATRICS

Active
Parent organization
VENTURE HEALTH CORP
Organization subpart
Yes

Provider details

NPI number
Legal business name
VENTURE HEALTH CORP
Authorized official
KEVIN WILLIAMS (OFFICE MANAGER)
(804) 522-1531
Entity
Organization

Contact information

Practice address
440 HENLEY FORK DR, TAPPAHANNOCK, VA 22560-6506
(804) 522-1529
Mailing address
7293 HANOVER GREEN DR # A, MECHANICSVILLE, VA 23111-1791
(804) 522-1529

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary
3747A0650X
Attendant Care Provider
385H00000X
Respite Care

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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