Organization
ASSAIL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON S ADAMS (OWNER)
(276) 634-7388
Entity
Organization
Contact information
Practice address
1101 BROOKDALE ST STE G, MARTINSVILLE, VA 24112-4500
(276) 634-7388
(276) 632-7693
Mailing address
1101 BROOKDALE ST STE G, MARTINSVILLE, VA 24112-4500
(276) 634-7388
(276) 632-7693
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0178641319
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073984449
—
VA
Enumeration date
10/27/2016
Last updated
10/27/2016
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