Provider Demographics
NPI:1851871933
Name:SLATONS PERSONAL CONCIERGES, LLC
Entity Type:Organization
Organization Name:SLATONS PERSONAL CONCIERGES, LLC
Other - Org Name:SLATONS PERSONAL CONCIERGES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-973-8745
Mailing Address - Street 1:227 ROANOKE DR SE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-4007
Mailing Address - Country:US
Mailing Address - Phone:703-973-8745
Mailing Address - Fax:209-722-9088
Practice Address - Street 1:227 ROANOKE DR SE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4007
Practice Address - Country:US
Practice Address - Phone:703-973-8745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0161841876Medicaid