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Organization
BLANDFORD FAMILY SERVICES LLC
Active
Organization
BLANDFORD FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRVIN BLANDFORD (OWNER/DIRECTOR)
(804) 605-1800
Entity
Organization
Contact information
Practice address
2703 TIPTON ST, COLONIAL HEIGHTS, VA 23834-5246
(804) 605-1800
(804) 318-1569
Mailing address
5007 DAMPIER CT, CHESTER, VA 23831-6640
(804) 605-1800
(804) 318-1569
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1063-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159111076
—
VA
Enumeration date
09/30/2009
Last updated
02/16/2011
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