Organization · Type 2 NPI

Divine House, LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Virginia Beach, VA

NPI number 1124262712 Active

Practice location

3429 Stirrup Way
Virginia Beach, VA 23453-8546

Call (757) 202-0825 Map

Mailing address

912 Beaumeade Ct
Virginia Beach, VA 23462-4642

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	1157 (VA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1124262712

Divine House, LLC's National Provider Identifier is 1124262712, issued on Apr 27, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Virginia Beach, VA. The record was last updated on Apr 27, 2009.