Lighthouse Residential Home
Lighthouse Residential Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Chesterfield, Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5219 Summerleaf DrNorth Chesterfield, VA 23234-2817
Phone: (804) 337-1403
Fax: (804) 590-2763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1407483316 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Owens — President · (804) 337-1403 |
| NPI enumerated | March 23, 2020 |
| Last updated in NPPES | April 9, 2020 |
| Certification date | April 9, 2020 |
| Mailing address | 13518 Marsh Elder Ct, Chesterfield, VA 23838-3406 |
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