Organization · Type 2 NPI

Lighthouse Residential Home

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

NPI number 1407483316 Active

Practice location

5219 Summerleaf Dr
North Chesterfield, VA 23234-2817

Call (804) 337-1403 Map

Fax (804) 590-2763

Mailing address

13518 Marsh Elder Ct
Chesterfield, VA 23838-3406

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 1407483316

Lighthouse Residential Home's National Provider Identifier is 1407483316, issued on Mar 23, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in North Chesterfield, VA. The record was last updated on Apr 9, 2020.