NPI 1083322457

An Extension of Our Family,llc

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

Practice location

Address: 14810 Acorn Ridge Rd, Midlothian, VA 23112-2302
Phone: (804) 479-5761

Authorised official

Name: Deangelo Rives
Title: Manager
Phone: (804) 479-5761

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: 1083322457
Entity type: Organization
NPI issued: 14 Nov 2022
Record last updated: 14 Nov 2022

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.