Organization
INFLUENTIAL FAMILY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK CHAVIS (COO)
(804) 355-1853
Entity
Organization
Contact information
Practice address
3122 W. MARSHALL ST, 10, RICHMOND, VA 23230-4726
(804) 355-1853
Mailing address
3122 W. MARSHALL ST, 10, RICHMOND, VA 23230
(804) 355-1853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1346-05-001
VA
251S00000X
Community/Behavioral Health Agency
Primary
1346-05-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346
—
VA
Enumeration date
11/24/2009
Last updated
11/24/2009
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