Provider Demographics
NPI:1780578187
Name:FRANCISCAN BRETHREN OF ST. PHILIP INC LITTLE SISTERS OF ST. F
Entity type:Organization
Organization Name:FRANCISCAN BRETHREN OF ST. PHILIP INC LITTLE SISTERS OF ST. F
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:WAMALWA
Authorized Official - Last Name:WALUBUKA
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR/VP
Authorized Official - Phone:757-256-6937
Mailing Address - Street 1:P.O. BOX 1356 WILLIAMSBURG VA
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23187-1356
Mailing Address - Country:US
Mailing Address - Phone:757-256-6937
Mailing Address - Fax:757-208-0348
Practice Address - Street 1:17465 ELTHAM ROAD
Practice Address - Street 2:
Practice Address - City:LANEXA
Practice Address - State:VA
Practice Address - Zip Code:23089
Practice Address - Country:US
Practice Address - Phone:804-843-9013
Practice Address - Fax:804-843-9016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN BRETHREN OF ST. PHILIP INC/ LITTLE SISTERS OF ST. FRANCIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAADC1103861OtherLICENSE NUMBER