The Olivia Taylor House, LLC
The Olivia Taylor House, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Petersburg, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
628 Old Wagner RdPetersburg, VA 23805-9319
Phone: (804) 605-6146
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1386233419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | T'Andrea Graham — Executive Director/Owner · (804) 605-6146 |
| NPI enumerated | January 13, 2021 |
| Last updated in NPPES | January 13, 2021 |
| Certification date | January 13, 2021 |
| Mailing address | 628 Old Wagner Rd, Petersburg, VA 23805-9319 |
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