The Guardian Light
LBN: The Guardian Light
The Guardian Light is an health care organization with primary practice located at 2101 Mountain Run Dr , Glen Allen VA 23060-2261. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
The Guardian Light can be contacted via phone (804) 475-3344, or through Bailey, Janice Marie via phone (804) 475-3344.
Contact Information
Primary practice address
2101 Mountain Run Dr
Glen Allen VA 23060-2261
Phone: (804) 475-3344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | CLO-08-1104074 | Virginia |
Profile Details
| NPI number | 1134383102 |
|---|---|
| LBN Legal business name | The Guardian Light |
| DBA Doing business as | |
| Authorized official | Bailey, Janice Marie M.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Jul 17th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134383102 | NPPES |
| Virginia | Other | CL0-08-1104074 | LICENSE FROM DEPARTMENT OF SOCIAL SERVICES |
| Virginia | Other | CLO-081104074 | LICENSE FROM DEPARTMENT OF SOCIAL SERVICES |
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