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Bread Of Life Solutions LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Petersburg, VA. Organization (NPI-2).

NPI number1255181541
StatusActive
Last updated in NPPESMar 27, 2024

Details

NPI
1255181541
Entity type
Organization (NPI-2)
Legal business name
Bread Of Life Solutions LLC
Organization subpart
No
Enumeration date
Mar 27, 2024
Certification date
Mar 27, 2024
Last updated
Mar 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
163W00000X Registered Nurse––
174200000X Meals––
177F00000X Lodging––
251B00000X Case Management––
251J00000X Nursing Care––
251S00000X Community/Behavioral Health––
253Z00000X In Home Supportive Care––
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
385H00000X Respite Care––

Other names

  • Bread Of Life Residential Services (Doing Business As)

Practice location

2947 Brierwood Rd
Petersburg, VA 23805-2946

Phone 804-651-0473

Mailing address

6507 Whisperwood Dr
North Chesterfield, VA 23234-6289

Phone 804-381-0732

Authorized official

Shauntae Cyrille
Owner
8046510473

Is something wrong?

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