Chesterfield Community Services Board - Icf Pine Forest
Chesterfield Community Services Board - Icf Pine Forest is an Intellectual Disabilities Intermediate Care Facility in Chesterfield, Virginia. Licensed in Virginia. Registered with an NPI since 2008.
- Licensed in
- VA
- In the registry since
- 2008
Practice location Address checks out
6801 Lucy Corr CtChesterfield, VA 23832-6657
Phone: (804) 748-1227
Fax: (804) 717-6659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 222-17-001 (VA) |
|---|
Record details
| NPI number | 1033397542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Fried — Executive Director · (804) 768-7227 |
| NPI enumerated | February 6, 2008 |
| Last updated in NPPES | September 15, 2020 |
| Certification date | September 15, 2020 |
| Mailing address | 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 |
Other providers in Chesterfield
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Chesterfield Community Services Board-Icf Mr Galloway Place
6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 · (804) 748-1227