Overcomers Residential Services, Llc

NPI 1114353463 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1114353463
Enumeration Date 09/18/2013
Last Updated 09/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARCEL DARRYL MARCEL
Position OWNER
Phone (804) 562-7874
Fax (804) 482-2947
Practice Location
2519 PROFESSIONAL RD
SUITE A
NORTH CHESTERFIELD VA, 23235-3200, US
Phone (804) 562-7874
Fax (804) 482-2947
Business Location
PO BOX 661
CHESTERFIELD VA, 23832-0009, US
Phone (804) 562-7874
Fax (804) 482-2947
Toxanomy
Taxonomy Code 320600000X
License State Virginia
License Number 1569
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According to our database, Overcomers Residential Services, Llc NPI is 1114353463, taxonomy code is 320600000X and license number is 1569, license state is located at Virginia. Overcomers Residential Services, Llc physically located at 2519 Professional Rd, North Chesterfield VA, 23235-3200. NPI Number 1033115704 has the healthcare provider type.

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1114353463 NPI number is provided on an as is basis without warranty of any kind. 1114353463 is maintained by the National Plan & Provider Enumeration System. The contents of Overcomers Residential Services, Llc are for informational purposes only.