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Organization
RICHMOND GROUP HOME
Active
Organization
RICHMOND GROUP HOME
Active
Other names
RICHMOND HOME
Organization subpart
No
Provider details
NPI number
Authorized official
BESSEM OJONG ADESO NURSE PRACTITIONER (OWNER)
(804) 852-2847
Entity
Organization
Contact information
Practice address
9174 RUTH WOOD CT, MECHANICSVILLE, VA 23116-3903
(804) 852-2847
Mailing address
12306 QUAIL OAK CT, ASHLAND, VA 23005-7871
(804) 852-2847
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
08/19/2017
Last updated
02/10/2020
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