Provider Demographics
NPI:1851958094
Name:MAS HEALTH LLC
Entity Type:Organization
Organization Name:MAS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING DIRECTOR/ CARE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MAS
Authorized Official - Phone:804-214-6214
Mailing Address - Street 1:226 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-4537
Mailing Address - Country:US
Mailing Address - Phone:804-214-6214
Mailing Address - Fax:804-214-6214
Practice Address - Street 1:226 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4537
Practice Address - Country:US
Practice Address - Phone:804-214-6214
Practice Address - Fax:804-214-6214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable