Overcomers Residential Services, LLC

NPI #1114353463 in North Chesterfield, Virginia

Provider Information

NPI Number
1114353463
Entity Type
Organization
Organization Name
Overcomers Residential Services, LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 18, 2013
Last Updated
Sep 18, 2013

Practice Location

Address
2519 PROFESSIONAL RD
Address 2
SUITE A
ZIP Code
23235-3200
Phone
(804) 562-7874

Authorized Official

Name
MR. MARCEL DARRYL HIGGINS
Title
OWNER
Phone
(804) 562-7874

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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