Organization
PARKERLANE ASSISTANT LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHARON YVETTE JOHNSON (CEO)
(804) 748-2670
Entity
Organization
Contact information
Practice address
12706 PARKER LN, CHESTER, VA 23831-5130
(804) 748-2670
(180) 058-3495
Mailing address
12706 PARKER LN, CHESTER, VA 23831-5130
(804) 748-2670
(180) 058-3495
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167642211
—
VA
Enumeration date
06/07/2016
Last updated
06/07/2016
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