Organization · Type 2 NPI

Patrick Henry Hospital, Inc.

Adult Day Care Clinic/Center · Williamsburg, VA

NPI number 1629184072 Active

Practice location

3435 John Tyler Hwy, Building 2, Suite A
Williamsburg, VA 23185-1457

Call (757) 565-5305 Map

Fax (757) 875-2070

Mailing address

608 Denbigh Blvd, Suite 600
Newport News, VA 23608-4410

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	PL005216 (VA)
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	PL005216 (VA)

Adult Day Care Clinic/Center: Definition to come...

NPI record

NPI: 1629184072
Entity type: Organization (Type 2)
Issued: Aug 21, 2006
Last updated: Jan 26, 2021
Status: Active

Other names

<unavail>
Riverside Adult Daycare, Williamsburg · doing business as
Riverside Adult Daycare, Williamsburg · doing business as

Authorized official

Mr. Walter W Austin
Senior VP, LTC
(757) 875-7846

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629184072

Patrick Henry Hospital, Inc.'s National Provider Identifier is 1629184072, issued on Aug 21, 2006. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Williamsburg, VA. The record was last updated on Jan 26, 2021.