The Guardian Light in Glen Allen - Community Based Residential Treatment Facility, Mental Illness
The Guardian Light - NPI 1134383102
The Guardian Light is a Community Based Residential Treatment Facility, Mental Illness in Glen Allen, Virginia. The Guardian Light practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for The Guardian Light is 1134383102. The last update date is 2008-07-17.
The Guardian Light's current location address is 2101 Mountain Run Dr, Glen Allen, Virginia. You can contact this provider via phone number 8044753344. The mailing address for The Guardian Light is 2101 Mountain Run Dr, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Guardian Light |
|---|---|
| Address | 2101 Mountain Run Dr, Glen Allen, Virginia |
| Phone Number | 8044753344 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bailey Marie Janice |
| Credentials | M.S. |
| Telephone Number | 8044753344 |
NPI Number Detail
| NPI Number | 1134383102 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 2101 Mountain Run Dr |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230602261 |
| Phone Number | 8044753344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | CLO-08-11040 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CL0-08-1104074 | VA | LICENSE FROM DEPARTMENT OF SOC | |
| CLO-081104074 | VA | LICENSE FROM DEPARTMENT OF SOC |
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What is the unique identification code assigned to The Guardian Light by the Centers for Medicare & Medicaid Services?
The The Guardian Light has been issued the NPI (National Provider Identifier) 1134383102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of The Guardian Light?
The The Guardian Light is physically situated at 2101 Mountain Run Dr, in the city of Glen Allen, state of VA, with the postal code 230602261.
What is the The Guardian Light's specialty and taxonomy code?
The The Guardian Light's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date was the 1134383102 assigned to The Guardian Light?
The The Guardian Light was issued its 1134383102 on 2008-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to The Guardian Light most recently updated or revised?
The information pertaining to The Guardian Light, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.
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