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Organization
SISTER'S PLACE GROUP HOME II
Active
Organization
SISTER'S PLACE GROUP HOME II
Active
Other names
Boundless Potential,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MALONE RALPH L.C.S.W. (CEO)
(804) 290-0216
Entity
Organization
Contact information
Practice address
10204 SPINNING WHEEL WAY, RICHMOND, VA 23233-2750
(804) 290-0216
(804) 290-0427
Mailing address
10204 SPINNING WHEEL WAY, RICHMOND, VA 23233-2750
(804) 290-0216
(804) 290-0427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
287-2006
VA
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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