Chesterfield Community Services Board - Icf Pine Forest in Chesterfield - Intermediate Care Facility, Intellectual Disabilities

Chesterfield Community Services Board - Icf Pine Forest - NPI 1033397542

Chesterfield Community Services Board - Icf Pine Forest is a Intermediate Care Facility, Intellectual Disabilities in Chesterfield, Virginia. Chesterfield Community Services Board - Icf Pine Forest practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Chesterfield Community Services Board - Icf Pine Forest is 1033397542. The last update date is 2020-09-15.

Chesterfield Community Services Board - Icf Pine Forest's current location address is 6801 Lucy Corr Ct, Chesterfield, Virginia. You can contact this provider via phone number 8047481227 and fax number 8047176659. The mailing address for Chesterfield Community Services Board - Icf Pine Forest is 6801 Lucy Corr Ct, Chesterfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chesterfield Community Services Board - Icf Pine Forest
Address 6801 Lucy Corr Ct, Chesterfield, Virginia
Phone Number 8047481227
Fax Number 8047176659
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Fried Kelly
Telephone Number 8047687227

NPI Number Detail

NPI Number 1033397542
Provider Enumeration Date 2008-02-06
Last Updated Date 2020-09-15

Provider Mailing Address Detail

Address 6801 Lucy Corr Ct
City Chesterfield
State Virginia (VA)
Post Code 238326657
Phone Number 8047481227
Fax Number 8047176659

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 222-17-001
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PENDING VA --

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FAQs about Chesterfield Community Services Board - Icf Pine Forest

What is the unique 10-digit identifier code assigned to Chesterfield Community Services Board - Icf Pine Forest by the Centers for Medicare & Medicaid Services?

The Chesterfield Community Services Board - Icf Pine Forest has been issued the NPI (National Provider Identifier) 1033397542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Chesterfield Community Services Board - Icf Pine Forest?

The Chesterfield Community Services Board - Icf Pine Forest is situated at 6801 Lucy Corr Ct, in the city of Chesterfield, state of VA, with the zip code 238326657.

What is Chesterfield Community Services Board - Icf Pine Forest's area of expertise and its corresponding taxonomy classification?

The Chesterfield Community Services Board - Icf Pine Forest's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1033397542 to Chesterfield Community Services Board - Icf Pine Forest?

The Chesterfield Community Services Board - Icf Pine Forest received its 1033397542 assignment from the Centers for Medicare & Medicaid Services on 2008-02-06.

When was the information pertaining to Chesterfield Community Services Board - Icf Pine Forest most recently updated or revised?

The details related to Chesterfield Community Services Board - Icf Pine Forest, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-15.

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