Provider Demographics
NPI:1972075778
Name:CAMWOOD CORPORATION LLC
Entity type:Organization
Organization Name:CAMWOOD CORPORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LINWOOD
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:BS HUMAN SERVICES
Authorized Official - Phone:804-368-5327
Mailing Address - Street 1:4009 FITZHUGH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3953
Mailing Address - Country:US
Mailing Address - Phone:804-368-5327
Mailing Address - Fax:804-658-2793
Practice Address - Street 1:4009 FITZHUGH AVE STE 203
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3953
Practice Address - Country:US
Practice Address - Phone:804-368-5327
Practice Address - Fax:804-658-2793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0698505028Medicaid