Provider Demographics
NPI:1174289888
Name:BIRTH IN COLOR RVA FOUNDATION
Entity type:Organization
Organization Name:BIRTH IN COLOR RVA FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON-EL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-316-9867
Mailing Address - Street 1:13805 VILLAGE MILL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4304
Mailing Address - Country:US
Mailing Address - Phone:804-316-9867
Mailing Address - Fax:
Practice Address - Street 1:13805 VILLAGE MILL DR STE 201
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4304
Practice Address - Country:US
Practice Address - Phone:804-316-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No251V00000XAgenciesVoluntary or Charitable