Organization · Type 2 NPI

West Lake Residential Facility

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

NPI number 1225178312 Active

Practice location

6946 Forest Hill Ave
Richmond, VA 23225-1606

Call (804) 560-9774 Map

Fax (804) 560-9776

Mailing address

PO Box 4506
Midlothian, VA 23112

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	0459 (VA)

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.

3 other providers at this address

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About NPI 1225178312

West Lake Residential Facility's National Provider Identifier is 1225178312, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Richmond, VA. The record was last updated on Aug 22, 2020.