NPI 1114353463

Overcomers Residential Services, LLC

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

Practice location

Address: 2519 Professional Rd Suite a, North Chesterfield, VA 23235-3200
Phone: (804) 562-7874
Fax: (804) 482-2947
Mailing address: PO Box 661, Chesterfield, VA 23832-0009

Authorised official

Name: Marcel Darryl Higgins
Title: Owner
Phone: (804) 562-7874

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1569 (VA)

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

Registry record

NPI: 1114353463
Entity type: Organization
NPI issued: 18 Sep 2013
Record last updated: 18 Sep 2013

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.