| Entelechy Company LLC | |
|
5668 Advance Mills Rd Ruckersville VA 22968-1500 | |
| (434) 320-3388 | |
| Not Available |
| Full Name | Entelechy Company LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5668 Advance Mills Rd, Ruckersville, Virginia |
| Authorized Official Name and Position | James Hovermale (OWNER) |
| Authorized Official Contact | 4343203388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entelechy Company LLC 5668 Advance Mills Rd Ruckersville VA 22968-1500 Ph: (434) 320-3388 | Entelechy Company LLC 5668 Advance Mills Rd Ruckersville VA 22968-1500 Ph: (434) 320-3388 |
| NPI Number | 1932992005 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932992005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
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