Organization · Type 2 NPI

Light and Glory LLC

Community/Behavioral Health Agency · Virginia Beach, VA

NPI number 1184264756 Active

Practice location

1513 Mallory Ct
Virginia Beach, VA 23464-6419

Fax (757) 467-3604

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency	251J00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1184264756

Light and Glory LLC's National Provider Identifier is 1184264756, issued on Jan 13, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jan 13, 2020.