| Fundamental Community Care Services, Llc | |
|
3145 Welsh Cir Richmond VA 23223-2180 | |
| (804) 933-5115 | |
| Not Available |
| Full Name | Fundamental Community Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3145 Welsh Cir, Richmond, Virginia |
| Authorized Official Name and Position | Matiqua Carter (CEO) |
| Authorized Official Contact | 8049335115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamental Community Care Services, Llc 3145 Welsh Cir Richmond VA 23223-2180 Ph: (804) 933-5115 | Fundamental Community Care Services, Llc 3145 Welsh Cir Richmond VA 23223-2180 Ph: (804) 933-5115 |
| NPI Number | 1245929611 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245929611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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