NPI 1003509795

Angel Home, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Midlothian, VA

Practice location

Address: 1801 Otterdale Rd, Midlothian, VA 23112-5201
Phone: (804) 212-4832
Mailing address: 11307 Laurel Cove Ln, Chesterfield, VA 23838-8915

Authorised official

Name: Ali Eltom
Title: Director
Phone: (804) 691-6808

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1003509795
Entity type: Organization
NPI issued: 30 May 2023
Record last updated: 30 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.