Organization
FAM 4 LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRINA HART RPSSS (MANAGER)
(804) 503-4857
Entity
Organization
Contact information
Practice address
24308 DRIVER RD, NORTH DINWIDDIE, VA 23803-8836
(804) 503-4857
Mailing address
24308 DRIVER RD, NORTH DINWIDDIE, VA 23803-8836
(804) 503-4857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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