Organization
A FRESH START LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONEECE WALKER (MANAGER)
(804) 306-6707
Entity
Organization
Contact information
Practice address
7637 HULL STREET RD STE 101, NORTH CHESTERFIELD, VA 23235-6437
(804) 306-6707
Mailing address
7637 HULL STREET RD STE 101, NORTH CHESTERFIELD, VA 23235-6437
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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