Organization
ANGEL LANE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RIFUKAT ADEOLA ADEYEMI (PROGRAM DIRECTOR)
(804) 833-0401
Entity
Organization
Contact information
Practice address
11419 COURTHOUSE ACRES DR, MIDLOTHIAN, VA 23114-5168
(804) 833-0401
Mailing address
11419 COURTHOUSE ACRES DR, MIDLOTHIAN, VA 23114-5168
(804) 833-0401
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2471
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2471
—
VA
Enumeration date
07/01/2016
Last updated
07/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us