# GREATER GIFT RESIDENTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063225217
- **Authorized official:** DAJAUN CALVIN (OWNER)
- **Authorized official phone:** (804) 605-7505

## Contact information

- **Practice address:** 105 S HOLLY AVE, HENRICO, VA 23075-1332
- **Practice address phone:** (804) 605-7505
- **Mailing address:** 1116 DOMINION TOWNES PL, RICHMOND, VA 23223-2281
- **Mailing address phone:** (804) 605-7505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025