Organization
CHILDLIKE FAITH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND LEE HOWARD JR. (MANAGER)
(804) 475-2441
Entity
Organization
Contact information
Practice address
12417 BRANNER WAY, 103, CHESTER, VA 23836-2807
(804) 475-2441
Mailing address
PO BOX 3464, CHESTER, VA 23831-8464
(804) 475-2441
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
S4477073
VA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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