Organization
BETHEL RESIDENTIAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENA J THOMAS-OLIVER M.DIV (OWNER /DIRECTOR)
(804) 617-3159
Entity
Organization
Contact information
Practice address
14014 LIPPINGHAM CIR, CHESTER, VA 23831-6526
(804) 617-3159
Mailing address
15601 CHESDIN LANDING TER, CHESTERFIELD, VA 23838-3242
(804) 617-3159
(804) 504-0057
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1235
VA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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