NPI 1952126518
Keystone Residential Living LLC
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
Mental Illness Community Based Residential Treatment Facility
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.