Provider Demographics
NPI:1588418529
Name:IN GOOD HANDS RESIDENTIAL LLC
Entity type:Organization
Organization Name:IN GOOD HANDS RESIDENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAZELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-895-8505
Mailing Address - Street 1:4328 BRIDLE RUN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-2299
Mailing Address - Country:US
Mailing Address - Phone:804-895-8505
Mailing Address - Fax:
Practice Address - Street 1:4328 BRIDLE RUN LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-2299
Practice Address - Country:US
Practice Address - Phone:804-895-8505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility