Individual provider · Type 1 NPI
Stephanie Shepard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, VA
Practice location
619 St Peter St
Richmond, VA 23220-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2812 (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.
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About NPI 1710732243
Stephanie Shepard's National Provider Identifier is 1710732243, issued on Apr 18, 2024. 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 Apr 18, 2024.