Healthcare Provider Details

I. General information

NPI: 1376868349
Provider Name (Legal Business Name): DNL FOSTER CARE, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 EDENBROOK DR
RICHMOND VA
23228-3010
US

IV. Provider business mailing address

2306 EDENBROOK DR
RICHMOND VA
23228-3010
US

V. Phone/Fax

Practice location:
  • Phone: 804-426-6323
  • Fax: 804-794-6996
Mailing address:
  • Phone: 804-426-6323
  • Fax: 804-794-6996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateVA

VIII. Authorized Official

Name: MS. LAVERA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 804-426-6323