Provider Demographics
NPI:1215764030
Name:CENTER FOR PALLIATIVE AND INTEGRATIVE CARE, LLC
Entity type:Organization
Organization Name:CENTER FOR PALLIATIVE AND INTEGRATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:757-870-3938
Mailing Address - Street 1:704 THIMBLE SHOALS BLVD STE 500A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4555
Mailing Address - Country:US
Mailing Address - Phone:757-599-1066
Mailing Address - Fax:
Practice Address - Street 1:704 THIMBLE SHOALS BLVD STE 500A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4555
Practice Address - Country:US
Practice Address - Phone:757-599-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty