IVEYHOUSE LTD.
Residential Treatment Facilities at Colston St, Petersburg, VA

License number
Virginia 0002369
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: JEFFREY EDWARD LINDSTOM
Title: CEO
Phone: (804) 382-3741
Address
Address 2
2222 Colston St, Petersburg, VA 23805
925 Edinborough Dr, Colonial Heights, VA 23834
National Provider ID: 1770988123
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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