Organization
HELPING HANDS ADULT CARE CENTER OF PETERSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE DAVIS (ADMINISTRATOR)
(804) 861-1353
Entity
Organization
Contact information
Practice address
130 MCKEEVER ST, PETERSBURG, VA 23803-4302
(804) 861-1353
(804) 862-2317
Mailing address
130 MCKEEVER ST, PETERSBURG, VA 23803-4302
(804) 861-1353
(804) 862-2317
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
ALF141103821
VA
311Z00000X
Custodial Care Facility
Primary
ADC141103624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101043609
—
VA
05
—
0101267034
—
VA
Enumeration date
06/10/2015
Last updated
06/10/2015
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