# LIGHTED PATHWAY DANVILLE, LLC

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

## Provider details

- **NPI number:** 1578193090
- **Authorized official:** CHARLES LOGAN JR. (PARTNER)
- **Authorized official phone:** (434) 334-0310

## Contact information

- **Practice address:** 625 PINEY FOREST RD STE 307B, DANVILLE, VA 24540-2869
- **Practice address phone:** (434) 334-0310
- **Mailing address:** 625 PINEY FOREST RD STE 307B, DANVILLE, VA 24540-2869
- **Mailing address phone:** (434) 334-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2020
- **Last updated:** 01/23/2020