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Impact Adult Services, LLC

Day Training, Developmentally Disabled Services in North Chesterfield, VA. Organization (NPI-2).

NPI number1720402001
StatusActive
Last updated in NPPESFeb 7, 2014

Details

NPI
1720402001
Entity type
Organization (NPI-2)
Legal business name
Impact Adult Services, LLC
Organization subpart
No
Enumeration date
Feb 7, 2014
Last updated
Feb 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services88301001VAYes

Practice location

5536 Koufax Dr
North Chesterfield, VA 23234-2897

Phone 804-301-9624

Mailing address

14507 Glenmorgan Dr
Chester, VA 23831-6638

Phone 804-301-9624

Authorized official

Debbie Loureen Cadet
Chief Administrative Officer
8043019624

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