Organization
TILLMAN RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN TILLMAN (OWNER)
(804) 439-3184
Entity
Organization
Contact information
Practice address
4009 SHILLINGFORD DR, RICHMOND, VA 23223-4928
(804) 439-3184
(804) 226-4201
Mailing address
4009 SHILLINGFORD DR, RICHMOND, VA 23223-4928
(804) 439-3184
(804) 226-4201
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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