NPI 1104342351
Richmond Group Home
Practice location
- Address
- 9174 Ruth Wood CT, Mechanicsville, VA 23116-3903
- Phone
- (804) 852-2847
- Mailing address
- 12306 Quail Oak CT, Ashland, VA 23005-7871
Authorised official
- Name
- Bessem Ojong Adeso
- Title
- Owner
- Phone
- (804) 852-2847
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1104342351
- Entity type
- Organization
- NPI issued
- 19 Aug 2017
- Record last updated
- 10 Feb 2020
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.