West Petersburg Senior Adult Center

Organization Child Physical Disabilities Respite Care · NPI 1215176565

West Petersburg Senior Adult Center is a Child Physical Disabilities Respite Care in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in: VA
In the registry since: 2009

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Practice location Address checks out

25720 Greensville Ave
Petersburg, VA 23803-8604
Phone: (804) 861-1452
Fax: (804) 861-8642

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Physical Disabilities Respite Care (primary)	Taxonomy 385HR2065X · Licence 20087298 (VA)

Record details

NPI number	1215176565
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Peter Jeffrey — Director · (804) 861-1452
NPI enumerated	February 10, 2009
Last updated in NPPES	February 12, 2009
Mailing address	25720 Greensville Ave, Petersburg, VA 23803-8604