Organization
OVERCOMERS RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCEL DARRYL HIGGINS (OWNER)
(804) 562-7874
Entity
Organization
Contact information
Practice address
2519 PROFESSIONAL RD, SUITE A, NORTH CHESTERFIELD, VA 23235-3200
(804) 562-7874
(804) 482-2947
Mailing address
PO BOX 661, CHESTERFIELD, VA 23832-0009
(804) 562-7874
(804) 482-2947
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1569
VA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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