Individual
LAYIA REGINA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 RICHMOND ST, LYNCHBURG, VA 24501-5815
(434) 851-5090
Mailing address
81 BONNEVILLE PL, LYNCHBURG, VA 24501-5133
(143) 485-1509
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4538
VA
Other
Enumeration date
03/06/2024
Last updated
04/23/2024
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