Provider Demographics
NPI:1407134885
Name:ACCESS FAMILY CARE
Entity type:Organization
Organization Name:ACCESS FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:SOVEK
Authorized Official - Last Name:CORNETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-525-2595
Mailing Address - Street 1:3021 CAMROSE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8712
Mailing Address - Country:US
Mailing Address - Phone:757-525-2595
Mailing Address - Fax:757-273-1133
Practice Address - Street 1:3021 CAMROSE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-8712
Practice Address - Country:US
Practice Address - Phone:757-525-2595
Practice Address - Fax:757-273-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001193123251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management