Basic Information
| Provider Information | |||||||||
| NPI: | 1194047522 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SHELTERING ARMS THERAPY CLINICS LLC | ||||||||
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| OtherOrganizationName: | PT WORKS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8254 ATLEE RD | ||||||||
| Address2: | |||||||||
| City: | MECHANICSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231161844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043424300 | ||||||||
| FaxNumber: | 8043424316 | ||||||||
| Practice Location | |||||||||
| Address1: | 2296 JOHN ROLFE PKWY | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232336913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047417077 | ||||||||
| FaxNumber: | 8047410377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2010 | ||||||||
| LastUpdateDate: | 05/31/2011 | ||||||||
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| AuthorizedOfficialLastName: | SOK | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | E. | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8043424325 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | THE SHELTERING ARMS HOSPITAL | ||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | FACHE | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | H1899 | VA | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.