Organization
FULFILLMENTS FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAJUAN ARKALLE HOOPER (CEO)
(804) 721-8699
Entity
Organization
Contact information
Practice address
432 MAYCOX ST, PETERSBURG, VA 23805-2758
(804) 721-8699
(804) 800-4381
Mailing address
432 MAYCOX ST, PETERSBURG, VA 23805-2758
(804) 721-8699
(804) 800-4381
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
10/29/2023
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