# VIRGINIA RESIDENTIAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virginia Residential Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093272809
- **Authorized official:** BYRON WILSON (CEO)
- **Authorized official phone:** (757) 620-4412

## Contact information

- **Practice address:** 3873 RIVER OAK CIR, VIRGINIA BEACH, VA 23456-8143
- **Practice address phone:** (757) 620-4412
- **Mailing address:** 3873 RIVER OAK CIR, VIRGINIA BEACH, VA 23456-8143
- **Mailing address phone:** (757) 620-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/28/2019