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Organization

SISTER'S PLACE GROUP HOME II

Active
Other names
Boundless Potential,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH MALONE RALPH L.C.S.W. (CEO)
(804) 290-0216
Entity
Organization

Contact information

Practice address
10204 SPINNING WHEEL WAY, RICHMOND, VA 23233-2750
(804) 290-0216
(804) 290-0427
Mailing address
10204 SPINNING WHEEL WAY, RICHMOND, VA 23233-2750
(804) 290-0216
(804) 290-0427

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
287-2006
VA

Other

Enumeration date
10/09/2006
Last updated
08/22/2020
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