Organization · Type 2 NPI

Angel Home, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Midlothian, VA

NPI number 1003509795 Active

Practice location

1801 Otterdale Rd
Midlothian, VA 23112-5201

Call (804) 212-4832 Map

Mailing address

11307 Laurel Cove Ln
Chesterfield, VA 23838-8915

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1003509795

Angel Home, LLC's National Provider Identifier is 1003509795, issued on May 30, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Midlothian, VA. The record was last updated on May 30, 2023.