Organization
FAITH RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA EDWARDS (OWNER)
(804) 276-6713
Entity
Organization
Contact information
Practice address
10112 GROVE CREST CT, NORTH CHESTERFIELD, VA 23236-5531
(804) 276-6713
(804) 271-4802
Mailing address
10112 GROVE CREST CT, NORTH CHESTERFIELD, VA 23236-5531
(804) 276-6713
(804) 271-4802
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
679-01-001
VA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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