Individual provider · Type 1 NPI

Gregory Isaiah Grant Jr.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Richmond, VA

NPI number 1023966629 Active

Practice location

1403 W Leigh St
Richmond, VA 23220-2239

Mailing address

505 Tarpley Rd
Richmond, VA 23225-6037

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1023966629

Gregory Isaiah Grant Jr.'s National Provider Identifier is 1023966629, issued on Mar 19, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Richmond, VA. The record was last updated on Mar 19, 2026.