Organization
EVERNORTH DIRECT HEALTH LLC
Active
Parent organization
EVERNORTH DIRECT HEALTH LLC
Other names
Genworth Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERNORTH DIRECT HEALTH LLC
Authorized official
DEBORAH SUE COOLIDGE (FINANCIAL ANALYSIS SENIOR MANAGER)
(623) 277-1170
Entity
Organization
Contact information
Practice address
11011 W BROAD ST, GLEN ALLEN, VA 23060-5937
(623) 277-1190
Mailing address
8888 E RAINTREE DR, SCOTTSDALE, AZ 85260-3951
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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