Organization
ISAIAH PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA STEWARD (EXECUTIVE DIRECTOR)
(804) 460-9347
Entity
Organization
Contact information
Practice address
7939 COLONY DR, MECHANICSVILLE, VA 23111-3556
(804) 460-9347
(804) 918-6044
Mailing address
805 ADMIRAL GRAVELY BLVD, RICHMOND, VA 23231-1201
(804) 460-9347
(804) 918-6044
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/05/2024
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