Organization
DANA'S HABITAT, INC..
Active
Other names
Unique Lesson Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES CONSTANCE JOHNSON PRESIDENT (CEO)
(804) 329-4600
Entity
Organization
Contact information
Practice address
10401 DURYEA DR, RICHMOND, VA 23235-1709
(804) 216-0906
(804) 249-6960
Mailing address
2325 THOUSAND OAKS DR, DANA'S HABITAT, INC., RICHMOND, VA 23294-3433
(804) 901-9060
(804) 249-6960
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
643-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
64301001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010066531
—
VA
Enumeration date
08/16/2006
Last updated
09/15/2008
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