Organization · NPI-2

"c" Casting Care

Case Management · Chesterfield, VA

NPI number1700031077
StatusActive
Last updated in NPPESApr 28, 2009

Details

NPI
1700031077
Entity type
Organization (NPI-2)
Legal business name
"c" Casting Care
Organization subpart
No
Enumeration date
Nov 29, 2008
Last updated
Apr 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management1401054180VAYes
251E00000X Home Health1401054180VA
251J00000X Nursing Care1401054180VA

Practice location

5107 Blossomwood Ct
Chesterfield, VA 23832-7023

Phone 804-763-4141

Mailing address

5107 Blossomwood Ct
Chesterfield, VA 23832-7023

Phone 804-763-4141

Authorized official

Doris Virginia Jackson
Private Duty
8042740640

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