Organization
FIDURA & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER G. FIDURA (PRESIDENT)
(804) 560-4640
Entity
Organization
Contact information
Practice address
7400 BEAUFONT SPRINGS DR STE 403, NORTH CHESTERFIELD, VA 23225-5519
(804) 560-4640
(804) 560-4813
Mailing address
7400 BEAUFONT SPRINGS DR STE 403, NORTH CHESTERFIELD, VA 23225-5519
(804) 560-4640
(804) 560-4813
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
134
VA
Other
Enumeration date
10/11/2006
Last updated
08/04/2020
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