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Bridgeway Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phenix, Virginia
NPI 1740571728

Bridgeway Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Richmond, VA. Bridgeway Residential Services practices in Phenix, VA. The NPI Number for Bridgeway Residential Services is 1740571728 and holds a License No. 1366 (Virginia).

The current practice location address for Bridgeway Residential Services is 102 Minnie Lane Drive, Phenix, VA and can be reached out via phone at 434-315-3399.

Location: 102 Minnie Lane Drive, Phenix, VA, 23234-2952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740571728
Provider Name
Bridgeway Residential Services
Credential
Provider Entity Type
Organization
Address
102 Minnie Lane Drive, Phenix, VA, 23234-2952
Phone Number
434-315-3399
Fax Number
Provider Enumeration Date
04/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Minnie Lane Drive
City
Phenix
State
Virginia
Zip
23959
Phone Number
434-315-3399
Fax Number
person
Provider Business Mailing Address Details
Address
102 Minnie Lane Drive
City
Phenix
State
Virginia
Zip
23959
Phone Number
434-315-3399
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.
1366 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1366 (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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