The Olivia Taylor House, Llc

LBN: The Olivia Taylor House, Llc
The Olivia Taylor House, Llc is an health care organization with primary practice located at 628 Old Wagner Rd , Petersburg VA 23805-9319. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. The Olivia Taylor House, Llc can be contacted via phone (804) 605-6146, or through Graham, T'Andrea Lenon via phone (804) 605-6146.

Contact Information

Primary practice address
628 Old Wagner Rd Petersburg VA 23805-9319
Phone: (804) 605-6146
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, T'Andrea Lenon MSW SOCIAL; B.S. PSY
Phone: (804) 605-6146

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1386233419
LBN Legal business name The Olivia Taylor House, Llc
DBA Doing business as
Authorized official Graham, T'Andrea Lenon MSW SOCIAL; B.S. PSY
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - about 3 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.

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