Organization
THE SIERRAS LIFE, LLC
Active
Organization
THE SIERRAS LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E. BROWN (MANAGING MEMBER)
(540) 898-0851
Entity
Organization
Contact information
Practice address
2211 E PARHAM RD, RICHMOND, VA 23228-2238
(804) 515-5946
Mailing address
242 HILLCREST DR, FREDERICKSBURG, VA 22401-4010
(540) 898-0851
(540) 898-6531
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
365-02-006
VA
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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