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Organization
KINGSVILLE FAMILY SERVICES
Active
Organization
KINGSVILLE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVOR JOHNSON (OWNER)
(434) 234-2410
Entity
Organization
Contact information
Practice address
201 N MAIN ST, FARMVILLE, VA 23901-1300
(434) 395-1079
Mailing address
201 N MAIN ST, FARMVILLE, VA 23901-1300
(434) 395-1079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1826
VA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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