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Mary Nicole Gray
Home Health Agency in Columbia, Virginia
NPI 1467844670

Mary Nicole Gray is a Home Health Agency based in Columbia, VA. Mary Nicole Gray practices in Columbia, VA. The NPI Number for Mary Nicole Gray is 1467844670 and holds a License No. (Virginia).

The current practice location address for Mary Nicole Gray is 4645 Slippery Rock Ln, Columbia, VA and can be reached out via phone at 804-457-4153.

Location: 4645 Slippery Rock Ln, Columbia, VA, 23038-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467844670
Provider Name
Mary Nicole Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
4645 Slippery Rock Ln, Columbia, VA, 23038-2325
Phone Number
804-457-4153
Fax Number
Provider Enumeration Date
02/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4645 Slippery Rock Ln
City
Columbia
State
Virginia
Zip
23038-2325
Phone Number
804-457-4153
Fax Number
person
Provider Business Mailing Address Details
Address
4645 Slippery Rock Ln
City
Columbia
State
Virginia
Zip
23038-2325
Phone Number
804-457-4153
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Virginia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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