The Laurels Of Charlottesville, Llc in Charlottesville - Parenteral & Enteral Nutrition

The Laurels Of Charlottesville, Llc - NPI 1447335179

The Laurels Of Charlottesville, Llc is a Parenteral & Enteral Nutrition in Charlottesville, Virginia. The Laurels Of Charlottesville, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for The Laurels Of Charlottesville, Llc is 1447335179. The last update date is 2007-10-05.

The Laurels Of Charlottesville, Llc's current location address is 1165 Pepsi Pl, Charlottesville, Virginia. You can contact this provider via phone number 4349514200 and fax number 4349514201. The mailing address for The Laurels Of Charlottesville, Llc is 1165 Pepsi Pl, Charlottesville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Laurels Of Charlottesville, Llc
Address 1165 Pepsi Pl, Charlottesville, Virginia
Phone Number 4349514200
Fax Number 4349514201
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Patton Timothy
Telephone Number 6147948800

NPI Number Detail

NPI Number 1447335179
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 1165 Pepsi Pl
City Charlottesville
State Virginia (VA)
Post Code 229012866
Phone Number 4349514200
Fax Number 4349514201

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No NH2754
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7105596 VA UNITED HEALTH CARE ID #
147664 VA BC/BS #
NH2754 VA NH LICENSE #

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FAQs about The Laurels Of Charlottesville, Llc

What is the unique identification code assigned to The Laurels Of Charlottesville, Llc by the Centers for Medicare & Medicaid Services?

The The Laurels Of Charlottesville, Llc has been issued the NPI (National Provider Identifier) 1447335179. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where The Laurels Of Charlottesville, Llc is geographically located?

The The Laurels Of Charlottesville, Llc is physically situated at the following location: 1165 Pepsi Pl, Charlottesville, VA, 229012866.

What is The Laurels Of Charlottesville, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for The Laurels Of Charlottesville, Llc is Parenteral & Enteral Nutrition, and the taxonomy classification code that categorizes this area of expertise is 332Bp3500X.

On what date did the The Laurels Of Charlottesville, Llc receive its 1447335179 assignment from the Centers for Medicare & Medicaid Services?

The The Laurels Of Charlottesville, Llc was assigned its 1447335179 by the Centers for Medicare & Medicaid Services on 2006-10-25.

When was the information related to The Laurels Of Charlottesville, Llc most recently updated or refreshed?

The details pertaining to the The Laurels Of Charlottesville, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-05.

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