Organization
KINDRED SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL TIMMS (COO)
(804) 914-2036
Entity
Organization
Contact information
Practice address
1030 OLD WYTHE ST, PETERSBURG, VA 23803-3546
(804) 914-2036
Mailing address
1806 SUMMIT AVE STE 300, RICHMOND, VA 23230-4339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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