OrganizationActive
Bread of Life Solutions LLC
NPI 1255181541 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Petersburg, VA
Provider details
- NPI number
- 1255181541
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shauntae Cyrille, Owner(804) 651-0473
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Registered Nurse163W00000X
Nursing Service Providers
- Meals Provider174200000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
2947 Brierwood Rd
Petersburg, VA 23805-2946
Phone: (804) 651-0473
Approximate (ZIP-level) locationGet directions
Mailing address
6507 Whisperwood Dr
North Chesterfield, VA 23234-6289
Other names (DBA / former)
- Doing business as
- Bread of Life Residential Services
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.