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General NPI Number Information
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NPI Number | 1124363320
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Entity Type | Organization
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Legal Business Name | RICHLAND HOMES, LLC
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 1408 NELSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-2010
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Country | US
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Telephone | 434-229-3715
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Fax | 434-230-3020
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Provider Business Mailing Address
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Address Line | 1408 NELSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-2010
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Country | US
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Telephone | 434-229-3715
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Fax | 434-230-3020
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Authorized Official
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Title or Position | OWNER
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Name | CHARLOTTE BROWN
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Credential |
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Telephone | 434-229-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 2116-01-001
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License Number State | VA
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