Organization
LUMZY'S RESIDENTIAL INC
Active
Other names
Lumzy's Residential Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNE LUMZY (OWNER)
(804) 279-0105
Entity
Organization
Contact information
Practice address
7433 COTFIELD RD, NORTH CHESTERFIELD, VA 23237-1841
(804) 279-0105
(804) 279-0105
Mailing address
6601 IRONGATE SQ STE D, NORTH CHESTERFIELD, VA 23234-6077
(804) 279-0105
(804) 279-0109
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0049474106
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049474106
—
VA
Enumeration date
06/22/2017
Last updated
06/16/2018
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