Healthcare Provider Details

I. General information

NPI: 1932013489
Provider Name (Legal Business Name): A BRANCH LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 BOULEVARD
SOUTH CHESTERFIELD VA
23834-1319
US

IV. Provider business mailing address

3501 BOULEVARD
SOUTH CHESTERFIELD VA
23834-1319
US

V. Phone/Fax

Practice location:
  • Phone: 804-481-8862
  • Fax:
Mailing address:
  • Phone: 804-481-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AKEISHER DELBRIDGE
Title or Position: PROGRAM MANAGER
Credential:
Phone: 804-481-8862