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Lighthouse Residential Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Chesterfield, Virginia
NPI 1407483316

Lighthouse Residential Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chesterfield, VA. Lighthouse Residential Home practices in North Chesterfield, VA. The NPI Number for Lighthouse Residential Home is 1407483316 and holds a License No. (Virginia).

The current practice location address for Lighthouse Residential Home is 5219 Summerleaf Dr, North Chesterfield, VA and can be reached out via phone at 804-337-1403 and via fax at 804-590-2763.

Location: 5219 Summerleaf Dr, North Chesterfield, VA, 23838-3406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407483316
Provider Name
Lighthouse Residential Home
Credential
Provider Entity Type
Organization
Address
5219 Summerleaf Dr, North Chesterfield, VA, 23838-3406
Phone Number
804-337-1403
Fax Number
804-590-2763
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5219 Summerleaf Dr
City
North Chesterfield
State
Virginia
Zip
23234-2817
Phone Number
804-337-1403
Fax Number
804-590-2763
person
Provider Business Mailing Address Details
Address
5219 Summerleaf Dr
City
North Chesterfield
State
Virginia
Zip
23234-2817
Phone Number
804-337-1403
Fax Number
804-590-2763
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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