Providence Community Service LLC
Providence Community Service LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chesterfield, Virginia. Licensed in Virginia. Registered with an NPI since 2015.
- Licensed in
- VA
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7011 Egan PlChesterfield, VA 23832-8310
Phone: (804) 674-1044
Fax: (804) 674-1110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 225301001 (VA) |
|---|
Record details
| NPI number | 1053706812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Edwards — C.E.O · (804) 674-1044 |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | March 30, 2015 |
| Mailing address | 7011 Egan Pl, Chesterfield, VA 23832-8310 |
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