| NPI | 1306246111 |
|---|---|
| Doing Business As | ARDMORE COMMUNITY LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | DANNY THOMPSON Owner 804-647-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AS630312744) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS630312744) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MI AS630312744) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS630312744) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-12-02 |