Taylors Enhanced Living Iii Inc

NPI 1255677845 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1255677845
Enumeration Date 12/31/2012
Last Updated 12/31/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LAWRENCE LAWRENCE
Position EXE DIR
Phone (804) 504-0056
Fax
Practice Location
3267 S CRATER RD
PETERSBURG VA, 23805-9216, US
Phone (804) 504-0056
Fax
Business Location
1617 BOULEVARD
SUITE D
COLONIAL HEIGHTS VA, 23834-2329, US
Phone (804) 733-8847
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Taylors Enhanced Living Iii Inc NPI is 1255677845, taxonomy code is 320900000X Taylors Enhanced Living Iii Inc physically located at 3267 S Crater Rd, Petersburg VA, 23805-9216. NPI Number 1033115704 has the healthcare provider type.

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1255677845 NPI number is provided on an as is basis without warranty of any kind. 1255677845 is maintained by the National Plan & Provider Enumeration System. The contents of Taylors Enhanced Living Iii Inc are for informational purposes only.