Organization Name: | CITADEL FAMILY SERVICES, LLC |
NPI Number: | 1609155712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER INGRAHAM (EXECUTIVE DIRECTOR) |
Mailing Address: | 429 N Main St Suffolk |
State: | VA US |
Postal Code: | 234344424 |
Phone Number: | 7575390268 |
Fax Number: | 7575390269 |
NPI Enumeration Date: | 08/07/2011 |
NPI Last Update Date: | 08/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 1665-03-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |