Organization
GERONTECTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARTINO (OWNER)
(757) 426-4041
Entity
Organization
Contact information
Practice address
4240 BIRDELLA DR, WILLIAMSBURG, VA 23188-7366
(757) 426-4041
(757) 657-4353
Mailing address
4240 BIRDELLA DR, WILLIAMSBURG, VA 23188-7366
(757) 426-4041
(757) 657-4353
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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