Provider Demographics
NPI:1689170946
Name:RICHMOND THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:RICHMOND THERAPEUTIC SERVICES LLC
Other - Org Name:RICHMOND THERAPEUTIC SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-971-4561
Mailing Address - Street 1:2107 BINFORD LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-2048
Mailing Address - Country:US
Mailing Address - Phone:804-971-4561
Mailing Address - Fax:
Practice Address - Street 1:1618 HULL ST # H3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-3806
Practice Address - Country:US
Practice Address - Phone:804-971-4561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management