Provider Demographics
NPI:1679695738
Name:PRINCE EDWARD COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:PRINCE EDWARD COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:P
Authorized Official - Last Name:GABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-392-3113
Mailing Address - Street 1:111 SOUTH ST.
Mailing Address - Street 2:P. O. DRAWER 628
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-0628
Mailing Address - Country:US
Mailing Address - Phone:434-392-3113
Mailing Address - Fax:434-392-8453
Practice Address - Street 1:111 SOUTH ST.
Practice Address - Street 2:P. O. DRAWER 628
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-0628
Practice Address - Country:US
Practice Address - Phone:434-392-3113
Practice Address - Fax:434-392-8453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare