Healthcare Provider Details

I. General information

NPI: 1518976760
Provider Name (Legal Business Name): H.O.M.E. FOR GIRLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 SADDLEHORSE PL
RICHMOND VA
23231-5229
US

IV. Provider business mailing address

1712 SADDLEHORSE PL
RICHMOND VA
23231-5229
US

V. Phone/Fax

Practice location:
  • Phone: 804-226-8915
  • Fax: 804-226-8914
Mailing address:
  • Phone: 804-226-8915
  • Fax: 804-226-8914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE LEWIS BROWN
Title or Position: PRESIDENT
Credential:
Phone: 804-226-8915