Organization
RICHMOND GROUP HOME
Active
Other names
RICHMOND HOME
Organization subpart
No
Provider details
NPI number
Authorized official
BESSEM OJONG ADESO NURSE PRACTITIONER (OWNER)
(804) 852-2847
Entity
Organization
Contact information
Practice address
9174 RUTH WOOD CT, MECHANICSVILLE, VA 23116-3903
(804) 852-2847
Mailing address
12306 QUAIL OAK CT, ASHLAND, VA 23005-7871
(804) 852-2847
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
08/19/2017
Last updated
02/10/2020
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