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WILLIAMSVILLE WELLNESS LLC NPI 1477704708


NPI Information

NPI: 1477704708
Provider Name: WILLIAMSVILLE WELLNESS LLC

Doing Business As: WILLIAMSVILLE WELLNESS CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
10515 CABANISS LN
HANOVER, VA
ZIP 23069
Phone: (804) 559-9959
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WILLIAMSVILLE WELLNESS LLC is a substance abuse rehabilitation facility in Hanover, VA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WILLIAMSVILLE WELLNESS LLC NPI is 1477704708. The provider is registered as an organization entity type.
The provider Is Doing Business As Williamsville Wellness Center.

The provider's business location address is:

10515 CABANISS LN
HANOVER, VA
ZIP 23069-840
Phone: (804) 559-9959
Fax: (804) 559-9613

The provider's authorized official is Lisa M Judd .
The authorized official title is C.o.o. and has the following contact phone number (804) 559-9959.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility994VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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