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Organization

TIMELESS DEDICATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAQUELL WILSON (OWNER)
(804) 866-7050
Entity
Organization

Contact information

Practice address
8014 MIDLOTHIAN TPKE STE 318, NORTH CHESTERFIELD, VA 23235-5291
(804) 866-7050
(804) 560-5567
Mailing address
8014 MIDLOTHIAN TPKE STE 318, NORTH CHESTERFIELD, VA 23235-5291
(804) 866-7050
(804) 560-5567

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
3140N1450X
Pediatric Skilled Nursing Facility
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
05/12/2025
Last updated
03/10/2026
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