Provider Demographics
NPI:1619082302
Name:LITTLE SISTERS OF ST FRANCIS
Entity Type:Organization
Organization Name:LITTLE SISTERS OF ST FRANCIS
Other - Org Name:SETON HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:WALUBUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-564-7371
Mailing Address - Street 1:4801 HUNTSMAN TRL
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-2149
Mailing Address - Country:US
Mailing Address - Phone:804-932-3581
Mailing Address - Fax:804-932-4349
Practice Address - Street 1:4801 HUNTSMAN TRL
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-2149
Practice Address - Country:US
Practice Address - Phone:804-932-3581
Practice Address - Fax:804-932-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA75001001320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010276098Medicaid