Organization
COLLABORATIVE RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELESTE BROOKS RN (OWNER/DIRECTOR)
(804) 475-1903
Entity
Organization
Contact information
Practice address
5507 BELLE POND DR, NORTH CHESTERFIELD, VA 23234-3400
(804) 475-1903
Mailing address
7814 MILL RIVER CT, CHESTERFIELD, VA 23832-9238
(804) 475-1903
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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