Whalio Doctors

NPI 1902299985

Shangri-La, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility North Prince George, VA

Practice location

Address
3650 Butor Rd, North Prince George, VA 23860-7429
Phone
(804) 541-3589
Mailing address
PO Box 1014, Prince George, VA 23875-0961

Authorised official

Name
Loretta Faulknier
Title
Chief Executive Officer
Phone
(804) 541-3589

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 2473 (VA)

Registry record

NPI
1902299985
Entity type
Organization
NPI issued
14 Mar 2015
Record last updated
14 Mar 2015

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.