Organization · Type 2 NPI

The Olivia Taylor House, LLC

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

NPI number 1386233419 Active

Practice location

628 Old Wagner Rd
Petersburg, VA 23805-9319

Call (804) 605-6146 Map

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 1386233419

The Olivia Taylor House, LLC's National Provider Identifier is 1386233419, issued on Jan 13, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Petersburg, VA. The record was last updated on Jan 13, 2021.