Organization
WINSTON'S RESIDENTIAL, LLC
Active
Other names
Winston's Residential, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA IVETTE WINSTON RN (OWNER/CEO)
(804) 363-9879
Entity
Organization
Contact information
Practice address
4813 PAWPANS CT, NORTH CHESTERFIELD, VA 23237-2115
(804) 363-9879
Mailing address
14649 GRAND FOREST TER, SOUTH CHESTERFIELD, VA 23834-6827
(804) 363-9879
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/19/2022
Last updated
11/10/2022
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