Organization · Type 2 NPI
Bridgeway Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phenix, VA
Practice location
102 Minnie Lane Drive
Phenix, VA 23959
Mailing address
3648 Patsy Ann Dr
Richmond, VA 23234-2952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 1366 (VA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 1366 (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.
About NPI 1740571728
Bridgeway Residential Services's National Provider Identifier is 1740571728, issued on Apr 26, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phenix, VA. The record was last updated on Apr 26, 2011.