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Grandslam Residential, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chester, Virginia
NPI 1528481678

Grandslam Residential, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chester, VA. Grandslam Residential, Llc practices in Chester, VA. The NPI Number for Grandslam Residential, Llc is 1528481678 and holds a License No. 2194 (Virginia).

The current practice location address for Grandslam Residential, Llc is 14012 Rockhaven Dr, Chester, VA and can be reached out via phone at 804-691-9178.

Location: 14012 Rockhaven Dr, Chester, VA, 23836-9721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528481678
Provider Name
Grandslam Residential, Llc
Credential
Provider Entity Type
Organization
Address
14012 Rockhaven Dr, Chester, VA, 23836-9721
Phone Number
804-691-9178
Fax Number
Provider Enumeration Date
01/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14012 Rockhaven Dr
City
Chester
State
Virginia
Zip
23836-9721
Phone Number
804-691-9178
Fax Number
person
Provider Business Mailing Address Details
Address
14012 Rockhaven Dr
City
Chester
State
Virginia
Zip
23836-9721
Phone Number
804-691-9178
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2194 (Virginia)
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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