Provider Demographics
NPI:1760751663
Name:ALL CARE FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:ALL CARE FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-274-0995
Mailing Address - Street 1:4222 BONNIEBANK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6602
Mailing Address - Country:US
Mailing Address - Phone:804-859-3244
Mailing Address - Fax:804-237-0443
Practice Address - Street 1:4222 BONNIEBANK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6602
Practice Address - Country:US
Practice Address - Phone:804-859-3244
Practice Address - Fax:804-237-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1048-03-001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health