Organization
KINGDOM LIVING HOMES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRANCH (CFO)
(804) 510-0010
Entity
Organization
Contact information
Practice address
1201 BLACK HEATH RD, MIDLOTHIAN, VA 23113-2708
(804) 510-0010
Mailing address
1201 BLACK HEATH RD, MIDLOTHIAN, VA 23113-2708
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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