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NPI Code Detail

MEDICARE: NEIGHBORHOOD COMMUNITY SERVICES, LLC

MEDICARE: NEIGHBORHOOD COMMUNITY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyVA

General Provider Information

NPI Number : 1053664300
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORHOOD COMMUNITY SERVICES, LLC
Provider Business Mailing Address
First Line : 5204 ROCK SPRING CT
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-4663
Country : US
Telephone Number : 267-275-6812
Fax Number : 804-658-0336
Provider Business Practice Location Address
First Line : 6767 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1856
Country : US
Telephone Number : 267-275-6812
Fax Number : 804-658-0336
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : NICOLE C CULBRETH
Credential : MHS
Telephone Number : 267-275-6812
Provider Enumeration Date : 10/24/2012
Last Update Date : 10/24/2012

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Directions to “NEIGHBORHOOD COMMUNITY SERVICES, LLC ” Practice Location

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