Provider Demographics
NPI: | 1700047925 |
---|---|
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: | 2008-06-20 |
Last Update Date: | 2011-12-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 1048 | 251S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health |