Whalio Doctors

NPI 1114066735

Covenant Homes LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Richmond, VA

Practice location

Address
8214 Fredonia Rd, Richmond, VA 23227-1532
Phone
(804) 553-0129
Fax
(804) 553-0130

Authorised official

Name
Inger D Wyatt
Title
Executive Director
Phone
(804) 553-0129

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 735-01-001 (VA)

Registry record

NPI
1114066735
Entity type
Organization
NPI issued
6 Feb 2007
Record last updated
22 Aug 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.