NPI 1407483316

Lighthouse Residential Home

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

Practice location

Address: 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817
Phone: (804) 337-1403
Fax: (804) 590-2763
Mailing address: 13518 Marsh Elder CT, Chesterfield, VA 23838-3406

Authorised official

Name: Robert Earl Owens
Title: President
Phone: (804) 337-1403

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1407483316
Entity type: Organization
NPI issued: 23 Mar 2020
Record last updated: 9 Apr 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.