Provider Demographics
NPI:1194047522
Name:SHELTERING ARMS THERAPY CLINICS LLC
Entity type:Organization
Organization Name:SHELTERING ARMS THERAPY CLINICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SOK
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:804-342-4325
Mailing Address - Street 1:8254 ATLEE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1844
Mailing Address - Country:US
Mailing Address - Phone:804-342-4300
Mailing Address - Fax:804-342-4316
Practice Address - Street 1:2296 JOHN ROLFE PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-6913
Practice Address - Country:US
Practice Address - Phone:804-741-7077
Practice Address - Fax:804-741-0377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SHELTERING ARMS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-26
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1899261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation