Organization
MARY GRACE RAFANAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GRACE R RAFANAN COTA/L (COTA/L)
(757) 515-1799
Entity
Organization
Contact information
Practice address
704 REDLEAFE CIR, CHESAPEAKE, VA 23320-3225
(757) 819-6918
Mailing address
704 REDLEAFE CIR, CHESAPEAKE, VA 23320-3225
(757) 819-6918
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
031000985
VA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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