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Organization
TIFFANIE MANOR FOR YOUNG ADULTS
Active
Organization
TIFFANIE MANOR FOR YOUNG ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE GATLING (ADMINISTRATOR)
(804) 648-6924
Entity
Organization
Contact information
Practice address
115 N JEFFERSON ST, RICHMOND, VA 23220-5021
(804) 648-6924
(804) 644-3649
Mailing address
PO BOX 4685, RICHMOND, VA 23220-8685
(804) 648-6924
(804) 644-3649
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
VA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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