Organization
LEGACY FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA JUDON-WINSTON (OWNER/ADMINISTRATOR)
(804) 908-7374
Entity
Organization
Contact information
Practice address
8385 CARDOVA CIR, RICHMOND, VA 23227-1548
(804) 908-7374
(804) 354-6006
Mailing address
6033 BONNEAU RD, RICHMOND, VA 23227-2008
(804) 908-7374
(804) 354-6006
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1212-01-001
VA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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