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
5941 WILLOWBRANCH DR, NORTH CHESTERFIELD, VA 23234-5929
(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
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/13/2019
Last updated
02/19/2022
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