OrganizationActive
A Family Is Eternal
NPI 1699488494 · Exclusive Provider Organization · Petersburg, VA
Provider details
- NPI number
- 1699488494
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Nita Davison, Manager
Practice location
1889 S Sycamore St
Petersburg, VA 23805-2730
Phone: (804) 605-9845
Fax: (804) 895-7853
Mailing address
1889 S Sycamore St
Petersburg, VA 23805-2730
Registry dates
- Enumerated
- 2022-12-27
- Last updated
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.