Organization
PROVIDENCE REALTY & FINANCIAL MUTUAL
Active
Other names
Providence Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER RUSS (OWNER)
(804) 318-7978
Entity
Organization
Contact information
Practice address
2702 PERDUE CT, CHESTER, VA 23831-2149
(804) 318-7978
Mailing address
2702 PERDUE CT, CHESTER, VA 23831-2149
(804) 318-7978
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
VA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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