Provider Demographics
NPI:1477365914
Name:PATTERSON'S RESIDENTIAL SERVICES LLC
Entity type:Organization
Organization Name:PATTERSON'S RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-421-9900
Mailing Address - Street 1:145 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2941
Mailing Address - Country:US
Mailing Address - Phone:434-713-9280
Mailing Address - Fax:
Practice Address - Street 1:145 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2941
Practice Address - Country:US
Practice Address - Phone:434-713-9280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities