Organization
AT HOME FAMILY SERVICES LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
SAMONE RUFFIN (EXECUTIVE DIRECTOR)
(804) 919-3030
Entity
Organization
Contact information
Practice address
9207 CLOVIS ST, NORTH CHESTERFIELD, VA 23237-2805
(804) 919-3030
Mailing address
9207 CLOVIS ST, NORTH CHESTERFIELD, VA 23237-2805
(804) 919-3030
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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