NPI 1215389200

Angel Lane, LLC

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

Practice location

Address: 11419 Courthouse Acres Dr, Midlothian, VA 23114-5168
Phone: (804) 833-0401

Authorised official

Name: Rifukat Adeola Adeyemi
Title: Program Director
Phone: (804) 833-0401

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 2471 (VA)

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

Registry record

NPI: 1215389200
Entity type: Organization
NPI issued: 1 Jul 2016
Record last updated: 1 Jul 2016

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.