Provider Demographics
NPI:1124165071
Name:RESIDENTIAL APPLICATIONS, LLC
Entity type:Organization
Organization Name:RESIDENTIAL APPLICATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:CHRISTMAS
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-304-7800
Mailing Address - Street 1:5301 DALGLISH RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5817
Mailing Address - Country:US
Mailing Address - Phone:804-326-1867
Mailing Address - Fax:866-214-4103
Practice Address - Street 1:5301 DALGLISH RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5817
Practice Address - Country:US
Practice Address - Phone:804-326-1867
Practice Address - Fax:866-214-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VASS-333-06320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness