NPI 1821490566

Companions

Organisation Physical Disabilities Residential Treatment Facility Richmond, VA

Practice location

Address: 9300 Gildenfield CT, Richmond, VA 23294-5621
Phone: (804) 273-0579
Fax: (804) 527-5325

Authorised official

Name: Leon Michael Braxton
Title: Owner
Phone: (804) 273-0579

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence B09159000 (VA)

Other Residential Treatment Facility, Physical Disabilities providers in Virginia →

Registry record

NPI: 1821490566
Entity type: Organization
NPI issued: 25 Sep 2014
Record last updated: 25 Sep 2014

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.