NPI 1063871309

Childlike Faith Services, LLC

Organisation Preferred Provider Organization Chester, VA

Practice location

Address: 12417 Branner Way 103, Chester, VA 23836-2807
Phone: (804) 475-2441
Mailing address: PO Box 3464, Chester, VA 23831-8464

Authorised official

Name: Raymond Lee Howard
Title: Manager
Phone: (804) 475-2441

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence S4477073 (VA)

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Registry record

NPI: 1063871309
Entity type: Organization
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

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.