Individual
RENARD LAVELL COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3143 ZION ST, RICHMOND, VA 23234-1640
(804) 617-0969
Mailing address
4313 TOSH LN, CHESTER, VA 23831-6855
(804) 475-4907
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
443501001
VA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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