Mypotential Virginia, LLC
NPI #1528449055 in Winchester, Virginia
Provider Information
- NPI Number
- 1528449055
- Entity Type
- Organization
- Organization Name
- Mypotential Virginia, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NATIONAL LUTERAN HOME FOR THE AGED, INC.
- Primary Specialty
- Home Health
- Enumeration Date
- Jun 10, 2015
- Last Updated
- Jun 10, 2015
Practice Location
- Address
- 320 WESTSIDE STATION DR
- City
- Winchester
- State
- Virginia
- ZIP Code
- 22601-2839
- Phone
- (540) 450-0343
Authorized Official
- Name
- MR. MICHAEL JOSEPH BRADY SR., CPA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (301) 354-2714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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