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Ms. Jennifer Danielle Mason
Adult Care Home Facility in Petersburg, Virginia
NPI 1962146720

Jennifer Danielle Mason is an Adult Care Home Facility based in Colonial Heights, VA and is specialized in Adult Care Home. Jennifer Danielle Mason practices in Petersburg, VA. The NPI Number for Jennifer Danielle Mason is 1962146720 and holds a License No. 3763-01-001 (Virginia).

The current practice location address for Jennifer Danielle Mason is 2760 Forest Hills Rd, Petersburg, VA and can be reached out via phone at 804-255-3608. You can also correspond with Jennifer Danielle Mason through the mailing address at 525 CHESTNUT AVE, COLONIAL HEIGHTS, VA - 23834-3504 (mailing address contact number: 804-255-3608).

Location: 2760 Forest Hills Rd, Petersburg, VA, 23834-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962146720
Provider Name
Jennifer Danielle Mason
Credential
Provider Entity Type
Individual
Gender
Female
Address
2760 Forest Hills Rd, Petersburg, VA, 23834-3504
Phone Number
804-255-3608
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2760 Forest Hills Rd
City
Petersburg
State
Virginia
Zip
23805-2450
Phone Number
804-255-3608
Fax Number
person
Provider Business Mailing Address Details
Address
2760 Forest Hills Rd
City
Petersburg
State
Virginia
Zip
23805-2450
Phone Number
804-255-3608
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
3763-01-001 (Virginia)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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