Organization · Type 2 NPI

Sister's Developing Growth & Change, LLC

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

NPI number 1265776751 Active

Practice location

6101 Bradford Drive #B
Suffolk, VA 23435

Fax (757) 335-7003

Mailing address

1410 Carson Crescent West
Portsmouth, VA 23701

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X#133601001 (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 1265776751

Sister's Developing Growth & Change, LLC's National Provider Identifier is 1265776751, issued on Nov 21, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Suffolk, VA. The record was last updated on Nov 21, 2012.