Organization
INTERFAITH ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE DELORES MEALING B.S. (EXECUTIVE DIRECTOR)
(804) 732-3919
Entity
Organization
Contact information
Practice address
201 WALNUT BLVD, PETERSBURG, VA 23805-2025
(804) 732-3919
(804) 732-2163
Mailing address
201 WALNUT BLVD, P.O. BOX 3272, PETERSBURG, VA 23805-2025
(804) 732-3919
(804) 732-2163
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC14950036
VA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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