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West Petersburg Senior Adult Center
Child Physical Disabilities Respite Care in Petersburg, Virginia
NPI 1215176565

West Petersburg Senior Adult Center is a Child Physical Disabilities Respite Care based in Petersburg, VA and is specialized in Respite Care, Physical Disabilities, Child. West Petersburg Senior Adult Center practices in Petersburg, VA. The NPI Number for West Petersburg Senior Adult Center is 1215176565 and holds a License No. 20087298 (Virginia).

The current practice location address for West Petersburg Senior Adult Center is 25720 Greensville Ave, Petersburg, VA and can be reached out via phone at 804-861-1452 and via fax at 804-861-8642.

Location: 25720 Greensville Ave, Petersburg, VA, 23803-8604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215176565
Provider Name
West Petersburg Senior Adult Center
Credential
Provider Entity Type
Organization
Address
25720 Greensville Ave, Petersburg, VA, 23803-8604
Phone Number
804-861-1452
Fax Number
804-861-8642
Provider Enumeration Date
02/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20087298 05 VA
institution
Provider Business Practice Location Address Details
Address
25720 Greensville Ave
City
Petersburg
State
Virginia
Zip
23803-8604
Phone Number
804-861-1452
Fax Number
804-861-8642
person
Provider Business Mailing Address Details
Address
25720 Greensville Ave
City
Petersburg
State
Virginia
Zip
23803-8604
Phone Number
804-861-1452
Fax Number
804-861-8642
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
20087298 (Virginia)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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