| Kingdom Living Homes Corp | |
|
1201 Black Heath Rd Midlothian VA 23113-2708 | |
| (804) 510-0010 | |
| Not Available |
| Full Name | Kingdom Living Homes Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1201 Black Heath Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Lisa Branch (CFO) |
| Authorized Official Contact | 8045100010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Living Homes Corp 1201 Black Heath Rd Midlothian VA 23113-2708 Ph: () - | Kingdom Living Homes Corp 1201 Black Heath Rd Midlothian VA 23113-2708 Ph: (804) 510-0010 |
| NPI Number | 1457036238 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457036238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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