Organization · Type 2 NPI
Jessie Mae's Supported Living, LLC
Assisted Living Facility (Behavioral Disturbances) · Suffolk, VA
Practice location
614 Roosevelt Dr
Suffolk, VA 23434-3348
Fax (757) 801-5375
Mailing address
23069 Retreat Ln
Carrollton, VA 23314-4192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) Primary | 3104A0630X | None listed |
Assisted Living Facility (Behavioral Disturbances): A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
About NPI 1508663923
Jessie Mae's Supported Living, LLC's National Provider Identifier is 1508663923, issued on Feb 25, 2025. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Suffolk, VA. The record was last updated on Feb 25, 2025.