Angel Lane, Llc

LBN: Angel Lane, Llc
Angel Lane, Llc is an health care organization with primary practice located at 11419 Courthouse Acres Dr , Midlothian VA 23114-5168. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Angel Lane, Llc can be contacted via phone (804) 833-0401, or through Adeyemi, Rifukat Adeola via phone (804) 833-0401.

Contact Information

Primary practice address
11419 Courthouse Acres Dr Midlothian VA 23114-5168
Phone: (804) 833-0401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adeyemi, Rifukat Adeola
Phone: (804) 833-0401

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 2471 Virginia

Profile Details

NPI number 1215389200
LBN Legal business name Angel Lane, Llc
DBA Doing business as
Authorized official Adeyemi, Rifukat Adeola
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2016
Last updated Jul 1st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215389200 NPPES
Virginia MEDICAID 2471

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