Organization
WHITLOCK CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLYDE THOMAS WHITLOCK JR. (CEO)
(804) 878-4102
Entity
Organization
Contact information
Practice address
242 PHILRAY RD, NORTH CHESTERFIELD, VA 23236-2757
(804) 878-4102
Mailing address
242 PHILRAY RD, NORTH CHESTERFIELD, VA 23236-2757
(804) 878-4102
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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