Organization
RURAL INFANT SERVICES PROGRAM
Active
Parent organization
MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD
Authorized official
MRS. JULIA HUNDLEY SELF B.S.W. (CASE MANAGER/CARE COORDINATOR)
(804) 761-4131
Entity
Organization
Contact information
Practice address
535372 OLD VIRGINIA STREET, B, URBANNA, VA 23175
(804) 761-4131
Mailing address
535372B OLD VIRGINIA STREET, URBANNA, VA 23175
(804) 761-4131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
T67028145
VA
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
Update your record
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