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Organization

JC HOMELIFE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN NETTO (ADMINISTRATOR)
(804) 869-6155
Entity
Organization

Contact information

Practice address
7227 IRON BRIDGE RD, NORTH CHESTERFIELD, VA 23234-5923
(804) 869-6155
(804) 714-1356
Mailing address
PO BOX 1600, CHESTERFIELD, VA 23832-9125
(804) 869-6155
(804) 714-1356

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1447-01-011
VA

Other

Enumeration date
11/08/2011
Last updated
02/19/2022
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