Organization
JEWISH FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACK KETTERLINUS (CFO)
(804) 282-5644
Entity
Organization
Contact information
Practice address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 285-0006
Mailing address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 285-0006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251E00000X
Home Health Agency
497554
VA
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA004974778
—
VA
05
—
VA008701709
—
VA
05
—
VA008772291
—
VA
Enumeration date
09/29/2005
Last updated
02/17/2025
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