Organization
SISTERS HEAVENLY HOMES RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE JONES (CEO/EXECUTIVE DIRECTOR)
(434) 401-1919
Entity
Organization
Contact information
Practice address
406 WEXFORD PL, LYNCHBURG, VA 24502-3169
(434) 401-1919
Mailing address
406 WEXFORD PL, LYNCHBURG, VA 24502-3169
(434) 401-1919
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
25765
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7068690
NOTARY
VA
Enumeration date
03/12/2015
Last updated
03/12/2015
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