Organization
WEST PETERSBURG SENIOR ADULT CENTER
Active
Organization
WEST PETERSBURG SENIOR ADULT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER R JEFFREY DMIN (DIRECTOR)
(804) 861-1452
Entity
Organization
Contact information
Practice address
25720 GREENSVILLE AVE, PETERSBURG, VA 23803-8604
(804) 861-1452
(804) 861-8642
Mailing address
25720 GREENSVILLE AVE, PETERSBURG, VA 23803-8604
(804) 861-1452
(804) 861-8642
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
20087298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20087298
—
VA
Enumeration date
02/10/2009
Last updated
02/12/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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