# KINGSVILLE FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467949479
- **Authorized official:** MR. JAVOR JOHNSON (OWNER)
- **Authorized official phone:** (434) 234-2410

## Contact information

- **Practice address:** 201 N MAIN ST, FARMVILLE, VA 23901-1300
- **Practice address phone:** (434) 395-1079
- **Mailing address:** 201 N MAIN ST, FARMVILLE, VA 23901-1300
- **Mailing address phone:** (434) 395-1079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-1826 | VA | Yes |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 04/16/2018