Organization · Type 2 NPI

Loving Grace House LLC

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

NPI number 1013394089 Active

Practice location

3642 Riverside Dr
Norfolk, VA 23502-4356

Call (757) 822-6989 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X2310 (VA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013394089

Loving Grace House LLC's National Provider Identifier is 1013394089, issued on Apr 29, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 29, 2015.