Organization
QUALITY LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHELTON (EXECUTIVE DIRECTOR)
(804) 307-0041
Entity
Organization
Contact information
Practice address
3610 COURTHOUSE RD, CHESTERFIELD, VA 23832-7279
(804) 745-5000
(888) 820-5670
Mailing address
PO BOX 5684, MIDLOTHIAN, VA 23112-0029
(804) 307-0041
(888) 820-5670
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
88501001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010313627
—
VA
Enumeration date
11/17/2006
Last updated
09/07/2022
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