Individual provider · Type 1 NPI
Edward Sanders
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Midlothian, VA
Practice location
3931 Bridgewood Rd
Midlothian, VA 23112-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1063209682
Edward Sanders's National Provider Identifier is 1063209682, issued on Apr 24, 2025. 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 Apr 25, 2025.