Organization
ASCENDING DOVE CARE FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHELLE RUFUS COOPER (PROGRAM ADMINISTRATOR)
(804) 321-1111
Entity
Organization
Contact information
Practice address
5301 HILL DR, RICHMOND, VA 23228-5940
(804) 264-5801
(804) 264-5802
Mailing address
2914 FENDALL AVE, RICHMOND, VA 23222-3625
(804) 321-1111
(804) 321-0999
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
610-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010011183
—
VA
Enumeration date
06/28/2006
Last updated
03/04/2021
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