Provider Demographics
NPI:1639568876
Name:VIRGINIA LONG-TERM CARE COALITION
Entity Type:Organization
Organization Name:VIRGINIA LONG-TERM CARE COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-822-5378
Mailing Address - Street 1:10900 NUCKOLS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9276
Mailing Address - Country:US
Mailing Address - Phone:404-822-5378
Mailing Address - Fax:
Practice Address - Street 1:10900 NUCKOLS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-9276
Practice Address - Country:US
Practice Address - Phone:404-822-5378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLYALIGN HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Multi-Specialty