Organization
WHEELER SUPPORTIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACKERY WHEELER SW (CEO)
(415) 240-3100
Entity
Organization
Contact information
Practice address
800 CORPORATE DR, SUITE 301, STAFFORD, VA 22554-4889
(415) 240-3100
Mailing address
PO BOX 1042, DUMFRIES, VA 22026-9042
(415) 240-3100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2274
VA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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