Organization
SHELETTE ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SHELTON (PRESIDENT)
(804) 321-1994
Entity
Organization
Contact information
Practice address
1901 4TH AVE, RICHMOND, VA 23222-5117
(804) 921-1994
Mailing address
1901 4TH AVE, RICHMOND, VA 23222-5117
(804) 921-1994
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CL0 03-453
VA
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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