Organization
LIFE IMPACT REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETERRIAS ANDREWS (CEO)
(804) 402-1189
Entity
Organization
Contact information
Practice address
2807 N PARHAM RD STE 390, HENRICO, VA 23294-4410
(804) 402-1189
Mailing address
2807 N PARHAM RD STE 390, HENRICO, VA 23294-4410
(804) 402-1189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
04/04/2023
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