Provider Demographics
NPI:1326863705
Name:WELCOME HOME COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:WELCOME HOME COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-458-5500
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-0247
Mailing Address - Country:US
Mailing Address - Phone:804-835-8389
Mailing Address - Fax:
Practice Address - Street 1:326 PARK DR N
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2442
Practice Address - Country:US
Practice Address - Phone:804-835-8389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services