institution
The Olivia Taylor House, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Petersburg, Virginia
NPI 1386233419

The Olivia Taylor House, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Petersburg, VA. The Olivia Taylor House, Llc practices in Petersburg, VA. The NPI Number for The Olivia Taylor House, Llc is 1386233419 and holds a License No. (Virginia).

The current practice location address for The Olivia Taylor House, Llc is 628 Old Wagner Rd, Petersburg, VA and can be reached out via phone at 804-605-6146.

Location: 628 Old Wagner Rd, Petersburg, VA, 23805-9319
institution
Provider Profile Details
NPI Number
1386233419
Provider Name
The Olivia Taylor House, Llc
Credential
Provider Entity Type
Organization
Address
628 Old Wagner Rd, Petersburg, VA, 23805-9319
Phone Number
804-605-6146
Fax Number
Provider Enumeration Date
01/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
628 Old Wagner Rd
City
State
Zip
23805-9319
Phone Number
804-605-6146
Fax Number
person
Provider Business Mailing Address Details
Address
628 Old Wagner Rd
City
State
Zip
23805-9319
Phone Number
804-605-6146
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
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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