Organization
FOUNDATIONS FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE CANDISE NICHOLAS (CHIEF EXECUTIVE OFFICER)
(804) 901-3978
Entity
Organization
Contact information
Practice address
102 N SYCAMORE ST STE B, PETERSBURG, VA 23803-3245
(804) 901-3978
Mailing address
102 N SYCAMORE ST STE B, PETERSBURG, VA 23803-3245
(804) 901-3978
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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