Organization
MCGUIRE VETERANS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARIE KULAKOWSKI LCSW (SOCIAL WORKER)
(804) 675-5000
Entity
Organization
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(805) 675-6778
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(805) 675-6778
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
0904008642
VA
315D00000X
Inpatient Hospice
Primary
0904008642
VA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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