Provider Demographics
NPI:1477719425
Name:ALLEGHANY/COVINGTON DEPT SOCIAL SERVICES
Entity Type:Organization
Organization Name:ALLEGHANY/COVINGTON DEPT SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DRIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-965-1780
Mailing Address - Street 1:110 ROSEDALE AVE
Mailing Address - Street 2:STE B
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-1294
Mailing Address - Country:US
Mailing Address - Phone:540-965-1780
Mailing Address - Fax:540-965-1787
Practice Address - Street 1:110 ROSEDALE AVE
Practice Address - Street 2:STE B
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1294
Practice Address - Country:US
Practice Address - Phone:540-965-1780
Practice Address - Fax:540-965-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0087406077Medicaid