Healthcare Provider Details

I. General information

NPI: 1134693476
Provider Name (Legal Business Name): FAMILY TO FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2019
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 PENNSBURY PL APT 3
RICHMOND VA
23294-4813
US

IV. Provider business mailing address

8700 PENNSBURY PL
RICHMOND VA
23294-4813
US

V. Phone/Fax

Practice location:
  • Phone: 804-548-3556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: SALIM KREIDI
Title or Position: CEO
Credential:
Phone: 804-548-3556