Individual
THERESA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPERATIONS MANAGER
Contact information
Practice address
2801 PENNINGTON RD, HENRICO, VA 23294-4013
(804) 307-6615
Mailing address
1601 WILLOW LAWN DR, RICHMOND, VA 23230-3427
(804) 307-6615
(844) 514-7677
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
VA
171M00000X
Case Manager/Care Coordinator
—
VA
171W00000X
Contractor
—
—
172A00000X
Driver
1295514529
VA
310400000X
Assisted Living Facility
Primary
—
VA
Other
Enumeration date
09/26/2023
Last updated
06/04/2024
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