Organization
KINDRED COMMUNITY CARES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL BLAND (DIRECTOR)
(301) 752-4611
Entity
Organization
Contact information
Practice address
3277 S CRATER RD STE D, PETERSBURG, VA 23805-9285
(804) 805-8518
(804) 805-8518
Mailing address
3277 S CRATER RD STE D, PETERSBURG, VA 23805-9285
(804) 805-8518
(804) 805-8741
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
11/04/2025
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