Organization
EVOLUTION LIFE SERVICES LLC
Active
Other names
Evolution Life Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEESHA L BORDEN (CEO)
(804) 681-2023
Entity
Organization
Contact information
Practice address
420 W BROAD ST, RICHMOND, VA 23220-4221
(804) 681-2023
(804) 533-1498
Mailing address
6903 ALDER GROVE DR, HENRICO, VA 23228-2663
(804) 681-5331
(804) 533-1498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
05/16/2024
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