Individual provider · Type 1 NPI
Regina C. Edwards
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Chesterfield, VA
Practice location
10112 Grove Crest Ct
North Chesterfield, VA 23236-5531
Fax (804) 271-4802
Mailing address
PO Box 1086
Chesterfield, VA 23832-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
Another provider at this address
About NPI 1780104935
Regina C. Edwards's National Provider Identifier is 1780104935, issued on Jun 20, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in North Chesterfield, VA. The record was last updated on Jun 20, 2017.