Organization · Type 2 NPI

Destiny's Fulfilled L.l.c.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, VA

NPI number 1891764882 Active

Practice location

1908 Chevelle Dr
Richmond, VA 23235-5641

Call (804) 276-1702 Map

Fax (804) 276-6051

Mailing address

PO Box 74924
Richmond, VA 23236-0016

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X320-2006 (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 1891764882

Destiny's Fulfilled L.l.c.'s National Provider Identifier is 1891764882, issued on Mar 14, 2006. 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 Aug 22, 2020.