Organization
L&R OF CHESTERFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LYNNE NASHETTE (EXECUTIVE DIRECTOR)
(804) 921-6359
Entity
Organization
Contact information
Practice address
5912 HARBOUR PARK DR STE B, MIDLOTHIAN, VA 23112-2135
(804) 921-6359
(804) 744-2961
Mailing address
5912 HARBOUR PARK DR STE B, MIDLOTHIAN, VA 23112-2135
(804) 921-6359
(804) 744-2961
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
OLIS2235
VA
Other
Enumeration date
08/28/2015
Last updated
02/18/2022
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