institution
West Lake Residential Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, Virginia
NPI 1225178312

West Lake Residential Facility is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Midlothian, VA. West Lake Residential Facility practices in Richmond, VA. The NPI Number for West Lake Residential Facility is 1225178312 and holds a License No. 0459 (Virginia).

The current practice location address for West Lake Residential Facility is 6946 Forest Hill Ave, Richmond, VA and can be reached out via phone at 804-560-9774 and via fax at 804-560-9776. You can also correspond with West Lake Residential Facility through the mailing address at PO BOX 4506, MIDLOTHIAN, VA - 23112 (mailing address contact number: 804-560-9774).

Location: 6946 Forest Hill Ave, Richmond, VA, 23112
institution
Provider Profile Details
NPI Number
1225178312
Provider Name
West Lake Residential Facility
Credential
Provider Entity Type
Organization
Address
6946 Forest Hill Ave, Richmond, VA, 23112
Phone Number
804-560-9774
Fax Number
804-560-9776
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6946 Forest Hill Ave
City
State
Zip
23225-1606
Phone Number
804-560-9774
Fax Number
804-560-9776
person
Provider Business Mailing Address Details
Address
6946 Forest Hill Ave
City
State
Zip
23225-1606
Phone Number
804-560-9774
Fax Number
804-560-9776
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
0459 (Virginia)
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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