Organization
CIRCLE OF LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLORISSE PETTAWAY (CEO)
(804) 481-3279
Entity
Organization
Contact information
Practice address
25415 COX RD, NORTH DINWIDDIE, VA 23803-6509
(804) 481-3279
Mailing address
25415 COX RD, NORTH DINWIDDIE, VA 23803-6509
(804) 481-3279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/08/2024
Last updated
10/05/2025
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