NPI 1326211616

Jesse Calloway's Family Services

Organisation Exclusive Provider Organization Lynchburg, VA

Practice location

Address: 1129 Cosby St, Lynchburg, VA 24504
Phone: (434) 229-1912
Mailing address: 1129 Cosby Street, Lynchburg, VA 24504

Authorised official

Name: Jesse James Calloway
Title: Director/Owner
Phone: (434) 229-1912

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 31205001 (VA)

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Registry record

NPI: 1326211616
Entity type: Organization
NPI issued: 8 Apr 2008
Record last updated: 31 Jul 2008

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.