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Organization
DANA'S HABITAT, INC..
Active
Organization
DANA'S HABITAT, INC..
Active
Other names
Unique Lesson Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES CONSTANCE JOHNSON PRESIDENT (CEO)
(804) 329-4600
Entity
Organization
Contact information
Practice address
10401 DURYEA DR, RICHMOND, VA 23235-1709
(804) 216-0906
(804) 249-6960
Mailing address
2325 THOUSAND OAKS DR, DANA'S HABITAT, INC., RICHMOND, VA 23294-3433
(804) 901-9060
(804) 249-6960
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
643-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
64301001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010066531
—
VA
Enumeration date
08/16/2006
Last updated
09/15/2008
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