OrganizationActive
West Petersburg Senior Adult Center
NPI 1215176565 · Child Physical Disabilities Respite Care · Petersburg, VA
Provider details
- NPI number
- 1215176565
- Entity type
- Organization
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Peter Jeffrey, Director(804) 861-1452
- License
- 20087298 (VA)
Specialties & taxonomies
Respite Care Facility
Practice location
25720 Greensville Ave
Petersburg, VA 23803-8604
Phone: (804) 861-1452
Fax: (804) 861-8642
Approximate (ZIP-level) locationGet directions
Mailing address
25720 Greensville Ave
Petersburg, VA 23803-8604
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.