NPI 1447362660

Commonwealth of Virginia Hiram W Davis Medical Center

Organisation Mental Illness Intermediate Care Facility Petersburg, VA

Practice location

Address: Albemarle and 7th Streets Building 110, Petersburg, VA 23803-0030
Phone: (804) 524-7344
Fax: (804) 524-7148
Mailing address: PO Box 4030, Petersburg, VA 23803-0030

Authorised official

Name: Jarvis T Griffin
Title: Facility Director/Ceo
Phone: (804) 524-7112

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Virginia →

Registry record

NPI: 1447362660
Entity type: Organization
NPI issued: 1 Sep 2006
Record last updated: 16 Jun 2023

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.