GROUP RESIDENTIAL AND CARE ESTABLISHMENT

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · HAMPTON, VA

Organization Active NPI 1144699034

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	✓	71301001	VA
In Home Supportive Care Agency	253Z00000X		71303011	VA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.