Whalio Doctors

NPI 1952126518

Keystone Residential Living LLC

Organisation Assisted Living Facility Triangle, VA

Practice location

Address
4528 Forestburg Ln, Triangle, VA 22172-1705
Phone
(571) 243-8164

Authorised official

Name
Jacqueline Coleman
Title
Office Manager
Phone
(571) 243-8164

Registered specialties (2)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1952126518
Entity type
Organization
NPI issued
19 Nov 2024
Record last updated
19 Nov 2024

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.