Organization
GIFTED HANDS & HEARTS SPONSORED RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HYLA BLONDELL JOHNSON (CEO)
(804) 967-4221
Entity
Organization
Contact information
Practice address
8014 MIDLOTHIAN TPKE STE 309, NORTH CHESTERFIELD, VA 23235-5291
(804) 967-4221
Mailing address
8014 MIDLOTHIAN TPKE STE 309, NORTH CHESTERFIELD, VA 23235-5291
(804) 967-4221
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3602-08-011
—
VA
Enumeration date
12/09/2020
Last updated
12/09/2020
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