Healthcare Provider Details

I. General information

NPI: 1316222821
Provider Name (Legal Business Name): FAMILY AND CHILDREN ENRICHMENT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2011
Last Update Date: 10/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 PARADISE LANE
SOUTH BOSTON VA
24592
US

IV. Provider business mailing address

220 PARADISE LANE
SOUTH BOSTON VA
24592
US

V. Phone/Fax

Practice location:
  • Phone: 434-572-3200
  • Fax: 434-572-3242
Mailing address:
  • Phone: 434-572-3200
  • Fax: 434-572-3242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH HUGH GASPERINI
Title or Position: CFO
Credential:
Phone: 434-572-3200