Provider Demographics
NPI:1609269448
Name:PRESERVE SERVICES, INC
Entity Type:Organization
Organization Name:PRESERVE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANDFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:434-799-2830
Mailing Address - Street 1:901 INDUSTRIAL AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2443
Mailing Address - Country:US
Mailing Address - Phone:434-799-2830
Mailing Address - Fax:434-799-2829
Practice Address - Street 1:901 INDUSTRIAL AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2443
Practice Address - Country:US
Practice Address - Phone:434-799-2830
Practice Address - Fax:434-799-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities