Organization
NEBLETT LLC
Active
Other names
Fastway Medical Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE NEBLETT (MANAGING MEMBER)
(804) 298-4292
Entity
Organization
Contact information
Practice address
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
(804) 298-4292
Mailing address
PO BOX 25392, RICHMOND, VA 23260-5392
(804) 298-4292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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