Organization · Type 2 NPI
West Petersburg Senior Adult Center
Child Physical Disabilities Respite Care · Petersburg, VA
NPI number
1215176565
Active
Practice location
25720 Greensville Ave
Petersburg, VA 23803-8604
Fax (804) 861-8642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Physical Disabilities Respite Care Primary | 385HR2065X | 20087298 (VA) |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
About NPI 1215176565
West Petersburg Senior Adult Center's National Provider Identifier is 1215176565, issued on Feb 10, 2009. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Petersburg, VA. The record was last updated on Feb 12, 2009.