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An Extension Of Our Family,llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Midlothian, Virginia
NPI 1083322457

An Extension Of Our Family,llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Midlothian, VA. An Extension Of Our Family,llc practices in Midlothian, VA. The NPI Number for An Extension Of Our Family,llc is 1083322457 and holds a License No. (Virginia).

The current practice location address for An Extension Of Our Family,llc is 14810 Acorn Ridge Rd, Midlothian, VA and can be reached out via phone at 804-479-5761.

Location: 14810 Acorn Ridge Rd, Midlothian, VA, 23112-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083322457
Provider Name
An Extension Of Our Family,llc
Credential
Provider Entity Type
Organization
Address
14810 Acorn Ridge Rd, Midlothian, VA, 23112-2302
Phone Number
804-479-5761
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14810 Acorn Ridge Rd
City
Midlothian
State
Virginia
Zip
23112-2302
Phone Number
804-479-5761
Fax Number
person
Provider Business Mailing Address Details
Address
14810 Acorn Ridge Rd
City
Midlothian
State
Virginia
Zip
23112-2302
Phone Number
804-479-5761
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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