MEDICARE: ADORE CHILDREN AND FAMILY SERVICES, INC

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
1	253J00000X	Foster Care Agency	CO 322-09	VA

General Provider Information

NPI Number	:	1922236215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORE CHILDREN AND FAMILY SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 100636
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22210-3636
Country	:	US
Telephone Number	:	540-446-3893
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 N FILLMORE ST
Second Line	:	SUITE 3
City	:	ARLINGTON
State	:	VA
Zip	:	22201-3819
Country	:	US
Telephone Number	:	540-446-3893
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. TINA ANDREWS
Credential	:	BA, JD
Telephone Number	:	540-446-3893

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	06/25/2009

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