Provider Demographics
NPI:1710314273
Name:RONALD MCDONALD HOUSE CHARITIES OF RICHMOND
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF RICHMOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-355-6517
Mailing Address - Street 1:2330 MONUMENT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-2604
Mailing Address - Country:US
Mailing Address - Phone:804-355-6517
Mailing Address - Fax:804-358-3153
Practice Address - Street 1:2330 MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-2604
Practice Address - Country:US
Practice Address - Phone:804-355-6517
Practice Address - Fax:804-358-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable