Provider Demographics
NPI:1336968460
Name:COORDINATION OF CARE LLC
Entity type:Organization
Organization Name:COORDINATION OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWHEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP
Authorized Official - Phone:804-412-5106
Mailing Address - Street 1:7044 RAVENSCRAIG CRES
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7286
Mailing Address - Country:US
Mailing Address - Phone:804-412-5106
Mailing Address - Fax:
Practice Address - Street 1:7044 RAVENSCRAIG CRES
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-7286
Practice Address - Country:US
Practice Address - Phone:804-412-5106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health