Provider Demographics
NPI:1841618006
Name:CHARIS SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:CHARIS SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-965-9085
Mailing Address - Street 1:2428 ALMEDA AVE
Mailing Address - Street 2:SUITE 164
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2448
Mailing Address - Country:US
Mailing Address - Phone:757-965-9085
Mailing Address - Fax:757-321-9463
Practice Address - Street 1:2428 ALMEDA AVE
Practice Address - Street 2:SUITE 164
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2448
Practice Address - Country:US
Practice Address - Phone:757-965-9085
Practice Address - Fax:757-321-9463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child