Organization
NURSE NICOLES FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN (OWNER)
(804) 731-4590
Entity
Organization
Contact information
Practice address
4016 KINGSTREAM LANE, CHESTER, VA 23237
(804) 731-4590
Mailing address
2545 BELLWOOD RD STE 101, NORTH CHESTERFIELD, VA 23237-4481
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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