NPI 1033397542

Chesterfield Community Services Board - Icf Pine Forest

Organisation Intellectual Disabilities Intermediate Care Facility Chesterfield, VA

Practice location

Address: 6801 Lucy Corr CT, Chesterfield, VA 23832-6657
Phone: (804) 748-1227
Fax: (804) 717-6659

Authorised official

Name: Kelly Fried
Title: Executive Director
Phone: (804) 768-7227

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 222-17-001 (VA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Virginia →

Registry record

NPI: 1033397542
Entity type: Organization
NPI issued: 6 Feb 2008
Record last updated: 15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.