Long Term Care Of Tidewater Pc

  • 1033154430 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, NPI number for Long Term Care Of Tidewater Pc is 1033154430 and actived since Monday, June 19 2006. Long Term Care Of Tidewater Pc is an Organization provider specializes in Geriatric Medicine. Provider information was last updated on 07/08/2019.

Overview of Long Term Care Of Tidewater Pc

  • NPI number: 1033154430
  • Provider type: Organization
  • Specialty: Geriatric Medicine
  • Active since: 06/19/2006
  • Last updated: 07/08/2019

Provider Mailing Address

  • Address: 110 Kingsley Ln Ste 312
    Norfolk, VA 23505
  • Phone: 757-917-5356
  • Fax: 757-917-5141

Provider Practice Location

  • Address: 6160 Kempsville Cir Ste 325a
    Norfolk, VA 23502
  • Phone: 757-917-5356
  • Fax: 757-917-5141

Authorized Official

  • Name: Jayne Walter
  • Position/Title: Credentialing
  • Telephone Number: 757-917-5356

Scope of Practice

  • Taxonomy Code: 207RG0300X
  • Specialty: Geriatric Medicine
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: CK3562
  • Identifier Type: Other
  • Identifier State: VA
  • Issuer: RAILROAD MEDICARE GROUP #

Question & Answers

What is the npi number?

  • Q: What is the npi number for Long Term Care Of Tidewater Pc?
  • A: The npi number for Long Term Care Of Tidewater Pc is 1033154430.
  • Q: What are Long Term Care Of Tidewater Pc's specialties?
  • A: Long Term Care Of Tidewater Pc's specialties are Geriatric Medicine and different specialities.
  • Q: Where is Long Term Care Of Tidewater Pc business practice location?
  • A: Long Term Care Of Tidewater Pc business practice location is 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502.
  • Q: How to contact Long Term Care Of Tidewater Pc?
  • A: You can contact Long Term Care Of Tidewater Pc via 757-917-5356.
  • Q: What is the authorized official for Long Term Care Of Tidewater Pc?
  • A: The authorized office name is Jayne Walter with position/title is Credentialing and you can reach the authorized official via phone number 7579175356.

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