Basic Information
| Provider Information | |||||||||
| NPI: | 1497233944 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADFINITAS REHABILITATIVE SERVICES OF VIRGINIA, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7250 PARKWAY DR | ||||||||
| Address2: | |||||||||
| City: | HANOVER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210761388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4439490814 | ||||||||
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| Practice Location | |||||||||
| Address1: | 360 HOSPITAL DR | ||||||||
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| City: | WARRENTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201863006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4439490814 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2018 | ||||||||
| LastUpdateDate: | 08/06/2018 | ||||||||
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| AuthorizedOfficialLastName: | WRIGHT | ||||||||
| AuthorizedOfficialFirstName: | MONICA | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF REVENUE CYCLE MANAGEMEN | ||||||||
| AuthorizedOfficialTelephone: | 4439490814 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.