Organization
COMMONWEALTH HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BURNETT EASON (OWNER)
(804) 248-0808
Entity
Organization
Contact information
Practice address
3306 HANES AVE, RICHMOND, VA 23222-2627
(804) 248-0808
(804) 340-6729
Mailing address
3306 HANES AVE, RICHMOND, VA 23222-2627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
07/12/2024
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