Provider Demographics
NPI:1366731325
Name:ASCENDING DOVE CARE FACILITY, INC.
Entity type:Organization
Organization Name:ASCENDING DOVE CARE FACILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:RUFUS
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-366-9382
Mailing Address - Street 1:2211 DICKENS RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2019
Mailing Address - Country:US
Mailing Address - Phone:804-366-9382
Mailing Address - Fax:804-264-5802
Practice Address - Street 1:2211 DICKENS RD
Practice Address - Street 2:SUITE 230
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2019
Practice Address - Country:US
Practice Address - Phone:804-366-9382
Practice Address - Fax:804-264-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management