Organization
LOS OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACORYA STITH (CEO)
(434) 378-0526
Entity
Organization
Contact information
Practice address
5806 AUTUMNLEAF DR, NORTH CHESTERFIELD, VA 23234-2825
(434) 378-0526
Mailing address
5806 AUTUMNLEAF DR, NORTH CHESTERFIELD, VA 23234-2825
(434) 378-0526
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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