Provider Demographics
NPI:1871990176
Name:ASSURANCE LLC
Entity type:Organization
Organization Name:ASSURANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-393-1059
Mailing Address - Street 1:12220 CHATTANOOGA PLAZA, #173
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112
Mailing Address - Country:US
Mailing Address - Phone:804-393-1059
Mailing Address - Fax:804-561-1857
Practice Address - Street 1:12220 CHATTANOOGA PLAZA, #173
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112
Practice Address - Country:US
Practice Address - Phone:804-393-1059
Practice Address - Fax:804-561-1857
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSURANCE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management