Provider Demographics
NPI:1326550310
Name:WAIVER SERVICES, LLC
Entity Type:Organization
Organization Name:WAIVER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-324-5494
Mailing Address - Street 1:15731 CHESDIN POINT DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-3236
Mailing Address - Country:US
Mailing Address - Phone:804-324-5494
Mailing Address - Fax:804-590-1866
Practice Address - Street 1:15731 CHESDIN POINT DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-3236
Practice Address - Country:US
Practice Address - Phone:804-324-5494
Practice Address - Fax:804-590-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty