Organization
LUMEN CHRISTI HOME OF VIRGINIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS IRIA AIKHU (EXECUTIVE DIRECTOR)
(757) 228-5893
Entity
Organization
Contact information
Practice address
177 S PLAZA TRL, VIRGINIA BEACH, VA 23452-5557
(757) 228-5893
(757) 282-6374
Mailing address
177 S PLAZA TRL, VIRGINIA BEACH, VA 23452-5557
(757) 228-5893
(757) 282-6374
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2280
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
06/16/2016
Last updated
06/16/2016
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