Organization
MIDDLETON GEE COMMUNITY GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY D LEWIS (PROGRAM DIRECTOR)
(804) 377-8440
Entity
Organization
Contact information
Practice address
1634 HUNGARY RD, RICHMOND, VA 23228-2314
(804) 377-8440
Mailing address
1634 HUNGARY RD, RICHMOND, VA 23228-2314
(804) 377-8440
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1437-01-001
VA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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