Provider Demographics
NPI:1093926594
Name:SENIOR LIVING CHOICES, INC
Entity Type:Organization
Organization Name:SENIOR LIVING CHOICES, INC
Other - Org Name:BRANDERMILL WOODS RETIREMENT COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:CHARMAINE
Authorized Official - Last Name:PREISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-521-8272
Mailing Address - Street 1:14311 BRANDERMILL WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4124
Mailing Address - Country:US
Mailing Address - Phone:804-521-8272
Mailing Address - Fax:804-744-4894
Practice Address - Street 1:2100 BRANDERMILL PKWY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4160
Practice Address - Country:US
Practice Address - Phone:804-521-8272
Practice Address - Fax:804-744-4894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA197875OtherBCBS PROVIDER NUMBER