Organization
FIVE STAR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMAYA CAMPBELL (ADMINISTRATOR)
(704) 301-2079
Entity
Organization
Contact information
Practice address
3101 STONY VALLEY DR, RICHMOND, VA 23223-2658
(704) 301-2079
Mailing address
3101 STONY VALLEY DR, RICHMOND, VA 23223-2658
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
974
VA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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