| Maxcare Health And Residential Services Llc | |
|
13900 Cedar Creek Rd Chesterfield VA 23838 | |
| (804) 739-5902 | |
| Not Available |
| Full Name | Maxcare Health And Residential Services Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 13900 Cedar Creek Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | Melvin Max Oliver (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8043667605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxcare Health And Residential Services Llc 13900 Cedar Creek Rd Chesterfield VA 23838-1216 Ph: (804) 739-5902 | Maxcare Health And Residential Services Llc 13900 Cedar Creek Rd Chesterfield VA 23838 Ph: (804) 739-5902 |
| NPI Number | 1104345461 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104345461 | NPI | - | NPPES |
| 2723-01-001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2723 (Virginia) | Primary |
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