NPI 1639335987

Intensive Community Outreach Services LLC

Organisation Preferred Provider Organization Richmond, VA

Practice location

Address: 501 E Franklin St Suite 516, Richmond, VA 23219-2322
Phone: (804) 317-7777

Authorised official

Name: Bernard L Heyward
Title: President
Phone: (804) 317-7777

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 118542 (VA)

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Registry record

NPI: 1639335987
Entity type: Organization
NPI issued: 5 Aug 2008
Record last updated: 5 Aug 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.