Organization
AFFORDABLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIENNE BELIZAIRE (DIRECTOR)
(804) 477-7912
Entity
Organization
Contact information
Practice address
2211 DICKENS RD, SUITE 225, RICHMOND, VA 23230-2019
(804) 477-7912
(804) 477-7912
Mailing address
2211 DICKENS RD, SUITE 225, RICHMOND, VA 23230-2019
(804) 477-7912
(804) 477-7912
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO1061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159367207
—
VA
Enumeration date
05/07/2010
Last updated
05/07/2010
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