Organization
EXTRA SPECIAL PARENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY H LUCY (DIRECTOR OF HR AND CONTRACTS)
(804) 538-0239
Entity
Organization
Contact information
Practice address
711 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 538-0239
(804) 714-1769
Mailing address
711 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 538-0239
(804) 714-1769
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103416472
API NUMBER
VA
Enumeration date
07/14/2021
Last updated
07/14/2021
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