| Resilient Life Center, Llc | |
|
9513 Hull Street Rd Ste A North Chesterfield VA 23236-1495 | |
| (804) 317-5710 | |
| (804) 763-3453 |
| Full Name | Resilient Life Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9513 Hull Street Rd Ste A, North Chesterfield, Virginia |
| Authorized Official Name and Position | Jennifer Ann Kell (CEO) |
| Authorized Official Contact | 8043175710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Life Center, Llc Po Box 4504 Midlothian VA 23112-0010 Ph: (804) 317-5710 | Resilient Life Center, Llc 9513 Hull Street Rd Ste A North Chesterfield VA 23236-1495 Ph: (804) 317-5710 |
| NPI Number | 1407679020 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407679020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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