NPI 1093411928
Jumpstart Residential Services INC
Practice location
- Address
- 1618 Kirkgate Ln, Midlothian, VA 23114-3248
- Phone
- (804) 368-5640
- Fax
- (804) 895-7914
Authorised official
- Name
- Robin Renee Russell
- Title
- Owner
- Phone
- (804) 368-5640
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1093411928
- Entity type
- Organization
- NPI issued
- 2 Feb 2023
- Record last updated
- 2 Feb 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.