Organization · Type 2 NPI

Impact Life Residential Care

Intellectual Disabilities Intermediate Care Facility · Richmond, VA

NPI number 1699589010 Active

Practice location

3203 Maury Street
Richmond, VA 23224

Call (804) 833-6052 Map

Mailing address

3203 Maury St
Richmond, VA 23224

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1699589010

Impact Life Residential Care's National Provider Identifier is 1699589010, issued on Feb 5, 2025. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Richmond, VA. The record was last updated on Feb 5, 2025.