Organization
FAMILYLIFE SERVICES I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOLITA JONES EPPS (PARTNER/MENTAL HEALTH THERAPIST)
(804) 833-5523
Entity
Organization
Contact information
Practice address
1296 CONCORD AVE, HENRICO, VA 23228-6518
(804) 266-6662
Mailing address
1296 CONCORD AVE, HENRICO, VA 23228-6518
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
462-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049422485
—
VA
Enumeration date
10/03/2016
Last updated
10/03/2016
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