Organization
ALTRUISTIC LIFE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENO LEGROS (CEO)
(804) 608-9759
Entity
Organization
Contact information
Practice address
2443 PARKVIEW AVE, PETERSBURG, VA 23803-4811
(804) 608-9759
Mailing address
4222 BONNIEBANK RD STE 203, NORTH CHESTERFIELD, VA 23234-6632
(804) 608-9759
(833) 252-0862
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/24/2019
Last updated
10/18/2023
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