| NPI | 1255181541 |
|---|---|
| Doing Business As | BREAD OF LIFE RESIDENTIAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAUNTAE CYRILLE Owner 804-651-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 174200000X | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |