Organization
FOREVER LIVING ASSISTANT CARE HOME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRYFENE SCOTT (ADMINISTRATOR)
(804) 412-5666
Entity
Organization
Contact information
Practice address
3701 CRESTVIEW RD, RICHMOND, VA 23223-8107
(804) 412-5666
Mailing address
3126 W CARY ST, 417, RICHMOND, VA 23221-3504
(804) 836-2641
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF1104506
VA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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