Organization
HANOVER ADULT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY W SHEPHERD (EXECUTIVE DIRECTOR)
(804) 746-0743
Entity
Organization
Contact information
Practice address
7231 STONEWALL PKWY, MECHANICSVILLE, VA 23111-1110
(804) 746-0743
(804) 559-1139
Mailing address
7231 STONEWALL PKWY, MECHANICSVILLE, VA 23111-1110
(804) 746-0743
(804) 559-1139
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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