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NPI Code Detail

MEDICARE: RIGGINS RESIDENTIAL, LLC

MEDICARE: RIGGINS RESIDENTIAL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility646VA

General Provider Information

NPI Number : 1477073625
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIGGINS RESIDENTIAL, LLC
Provider Business Mailing Address
First Line : PO BOX 1058
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-1058
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 103 LURAY DR
Second Line :
City : RICHMOND
State : VA
Zip : 23227-2046
Country : US
Telephone Number : 804-559-1095
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BARBARA RIGGINS
Credential :
Telephone Number : 804-559-1095
Provider Enumeration Date : 06/20/2017
Last Update Date : 06/20/2017

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Directions to “RIGGINS RESIDENTIAL, LLC ” Practice Location

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