Provider Demographics
NPI:1699587683
Name:GERALDINSURANCESERVICESLLC
Entity type:Organization
Organization Name:GERALDINSURANCESERVICESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DELORIS
Authorized Official - Last Name:GERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-651-1362
Mailing Address - Street 1:118 E UNION ST
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-1542
Mailing Address - Country:US
Mailing Address - Phone:804-651-1362
Mailing Address - Fax:
Practice Address - Street 1:118 E UNION ST
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-1542
Practice Address - Country:US
Practice Address - Phone:804-651-1362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services