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NPI Code Detail

MEDICARE: J & D RESIDENTIAL SERVICES, INC.

MEDICARE: J & D RESIDENTIAL SERVICES, INC.
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility497VA

General Provider Information

NPI Number : 1477609048
Entity Type Code : Organization
Provider Name (Legal Business Name) : J & D RESIDENTIAL SERVICES, INC.
Provider Business Mailing Address
First Line : 9906 REMORA DR
Second Line :
City : RICHMOND
State : VA
Zip : 23237-3923
Country : US
Telephone Number : 804-869-6155
Fax Number : 804-706-6167
Provider Business Practice Location Address
First Line : 9906 REMORA DR
Second Line :
City : RICHMOND
State : VA
Zip : 23237-3923
Country : US
Telephone Number : 804-869-6155
Fax Number : 804-706-6167
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JOHN NETTO
Credential :
Telephone Number : 804-869-6155
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “J & D RESIDENTIAL SERVICES, INC. ” Practice Location

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