Organization
WE CARE RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL A JEFFERSON (CEO/OWNER)
(804) 523-7702
Entity
Organization
Contact information
Practice address
2317 WESTWOOD AVE, SUITE 209, RICHMOND, VA 23230-4007
(804) 523-7702
(866) 383-5281
Mailing address
108 STERLING FOREST PKWY, RICHMOND, VA 23227-1677
(804) 523-7702
(866) 383-5281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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