Organization
COMMONWEALTH DAY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY RAWLINSON (DIRECTOR)
(804) 908-4635
Entity
Organization
Contact information
Practice address
500 S SYCAMORE ST, PETERSBURG, VA 23803-5046
(804) 908-4635
(804) 232-9211
Mailing address
5601 HULL STREET RD, RICHMOND, VA 23224-2839
(804) 908-4635
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076
DBHDS
VA
Enumeration date
02/17/2023
Last updated
02/17/2023
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