| Commonwealth Supportive Services,llc | |
|
605 N Courthouse Rd Ste 201g North Chesterfield VA 23236-4068 | |
| (804) 429-7706 | |
| Not Available |
| Full Name | Commonwealth Supportive Services,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 N Courthouse Rd Ste 201g, North Chesterfield, Virginia |
| Authorized Official Name and Position | Shapall King (OWNER) |
| Authorized Official Contact | 8049886768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Supportive Services,llc 217 Seaton Dr Richmond VA 23223-5925 Ph: (804) 429-7706 | Commonwealth Supportive Services,llc 605 N Courthouse Rd Ste 201g North Chesterfield VA 23236-4068 Ph: (804) 429-7706 |
| NPI Number | 1588432843 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588432843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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