Organization
EMS VA LLC
Active
Other names
EMS of Dallas, EMS of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE M CHRISTOPHER (DIRECTOR)
(540) 809-1882
Entity
Organization
Contact information
Practice address
3540 E BROAD ST STE 120-402, MANSFIELD, TX 76063-5633
(804) 332-5696
Mailing address
707 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/16/2022
Last updated
10/10/2024
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