Most Relevant Information
Provider Data
| NPI Number: | 1003325606 |
| Provider Name: | D'ELIA ALTHEA GAFFORD SERVICE FACILILATOR |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2017 |
| Last Updated: | 09/26/2017 |
Provider Practice Location
229 HARVEY JONES LANE
PAMPLIN
VA
239580024
Practice Location Phone/Fax
| Phone: | 4344207589 |
| Fax: |
Provider Mailing Location
PO BOX 1024
PAMPLIN
VA
239580024
Provider Mailing Phone/Fax
| Phone: | 4344207589 |
| Fax: | 4344855367 |