Organization
LIVING IN BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA MISCHA LUCAS (OWNER)
(804) 926-4855
Entity
Organization
Contact information
Practice address
545 N AZALEA RD, PETERSBURG, VA 23805-1420
(804) 926-4855
Mailing address
10418 CENTRALIA STATION RD, CHESTER, VA 23831-1143
(804) 926-4855
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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