NPI 1215360706

Independent Family Services, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Petersburg, VA

Practice location

Address: 1953 Coggin St, Petersburg, VA 23805-2009
Phone: (804) 451-9935
Fax: (804) 504-5573

Authorised official

Name: Cleveland Thomas Walker
Title: Ceo
Phone: (804) 451-9935

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 2016 (VA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1215360706
Entity type: Organization
NPI issued: 20 Aug 2013
Record last updated: 20 Aug 2013

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.