Organization
CITADEL FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER INGRAHAM (EXECUTIVE DIRECTOR)
(757) 539-0268
Entity
Organization
Contact information
Practice address
429 N MAIN ST, SUFFOLK, VA 23434-4424
(757) 539-0268
(757) 539-0269
Mailing address
429 N MAIN ST, SUFFOLK, VA 23434-4424
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1665-03-001
VA
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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