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NPI Code Detail

MEDICARE: COMMONWEALTH FAMILY SERVICES

MEDICARE: COMMONWEALTH FAMILY SERVICES
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 Agency186905001VA

General Provider Information

NPI Number : 1245778018
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMONWEALTH FAMILY SERVICES
Provider Business Mailing Address
First Line : 830 SOUTHLAKE BLVD STE B2
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-594-5980
Fax Number :
Provider Business Practice Location Address
First Line : 830 SOUTHLAKE BLVD STE B2
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-594-5980
Fax Number :
Authorized Official
Title or Position : OWNER/ CEO
Name : ANTHONY VARICK
Credential : CEO
Telephone Number : 804-594-5980
Provider Enumeration Date : 02/01/2017
Last Update Date : 02/01/2017

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Directions to “COMMONWEALTH FAMILY SERVICES ” Practice Location

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