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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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