Organization
CIRCLE CENTER ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORY PHILLIPPO (CEO)
(804) 355-5717
Entity
Organization
Contact information
Practice address
4900 W MARSHALL ST, RICHMOND, VA 23230-3105
(804) 355-5717
(804) 358-3866
Mailing address
4900 W MARSHALL ST, RICHMOND, VA 23230-3105
(804) 355-5717
(804) 358-3866
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087300320
—
VA
Enumeration date
06/25/2014
Last updated
06/25/2014
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