Organization
GUIDING LIGHT RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAHMELL DASH (COO)
(571) 279-3689
Entity
Organization
Contact information
Practice address
919 E MAIN ST, 1000, RICHMOND, VA 23219-4625
(571) 279-3689
Mailing address
919 E MAIN ST, 1000, RICHMOND, VA 23219-4625
(571) 279-3689
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2541
VA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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