Independent Family Services, LLC

NPI #1215360706 in Petersburg, Virginia

Provider Information

NPI Number
1215360706
Entity Type
Organization
Organization Name
Independent Family Services, LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 20, 2013
Last Updated
Aug 20, 2013

Practice Location

Address
1953 COGGIN ST
ZIP Code
23805-2009
Phone
(804) 451-9935

Authorized Official

Name
CLEVELAND THOMAS WALKER SR.
Title
CEO
Phone
(804) 451-9935

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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