Chesterfield Community Services Board-Icf Mr Galloway Place

LBN: Chesterfield Community Services Board-Icf Mr Galloway Place
Chesterfield Community Services Board-Icf Mr Galloway Place is an health care organization with primary practice located at 6801 Lucy Corr Ct , Chesterfield VA 23832-6657. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Chesterfield Community Services Board-Icf Mr Galloway Place can be contacted via phone (804) 748-1227, or through Burcham, Deborah via phone (804) 768-7220.

Contact Information

Primary practice address
6801 Lucy Corr Ct Chesterfield VA 23832-6657
Phone: (804) 748-1227
Fax: (804) 717-6659
Website:
Map and Directions
Authorized official contact:
Name: Burcham, Deborah
Phone: (804) 768-7220

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1629484514
LBN Legal business name Chesterfield Community Services Board-Icf Mr Galloway Place
DBA Doing business as
Authorized official Burcham, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2014
Last updated Jul 11th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629484514 NPPES
Virginia MEDICAID 004945352

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