Provider Demographics
NPI:1073921136
Name:CONSULTATION FOR ELDER CARE
Entity Type:Organization
Organization Name:CONSULTATION FOR ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE FACILITATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-300-7491
Mailing Address - Street 1:1601 LAKESIDE AVE
Mailing Address - Street 2:APT 602
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4739
Mailing Address - Country:US
Mailing Address - Phone:804-300-7491
Mailing Address - Fax:804-300-7491
Practice Address - Street 1:3007 HANES AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2620
Practice Address - Country:US
Practice Address - Phone:804-300-7491
Practice Address - Fax:804-300-7491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization