| NPI | 1568875235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MALLORY President 804-325-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: VA 0101045588) |
| Additional Taxonomies | 364SC2300X Clinical Nurse Specialist, Chronic Care (Licence: VA 0101045588) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |