WEST LAKE RESIDENTIAL FACILITY is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WEST LAKE RESIDENTIAL FACILITY NPI is 1225178312. The provider is registered as an organization entity type.
The provider's business location address is:
6946 FOREST HILL AVE
RICHMOND, VA
ZIP 23225-606
Phone: (804) 560-9774
Fax: (804) 560-9776
The provider's authorized official is Jimmie Junior Pratt .
The authorized official title is President and has the following contact phone number (804) 560-9774.
The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.