Organization · Type 2 NPI

Group Residential and Care Establishment

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

NPI number 1144699034 Active

Practice location

2021B Cunningham Dr, Suite 3
Hampton, VA 23666-3326

Call (757) 325-8399 Map

Fax (757) 325-8321

Mailing address

PO Box 8227
Hampton, VA 23666-0280

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000X71303011 (VA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X71301001 (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 1144699034

Group Residential and Care Establishment's National Provider Identifier is 1144699034, issued on Sep 21, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hampton, VA. The record was last updated on Sep 21, 2015.