Organization
JDM OF VA LLC
Active
Other names
DBAADULT DAY SERVICES OF SOUTH RICHMOND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERKELEY ANTHONY ALEXANDER NA (PRESIDENT)
(804) 788-1956
Entity
Organization
Contact information
Practice address
6201 MIDLOTHIAN TPKE, RICHMOND, VA 23225-5809
(804) 674-1600
(804) 674-1688
Mailing address
7 S ADAMS ST, RICHMOND, VA 23220-5601
(804) 788-1956
(804) 788-1940
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
52402006
VA
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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