Organization · Type 2 NPI

Family Extensions, LLC

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

NPI number 1528508264 Active

Practice location

779 Lesner Ave
Norfolk, VA 23518-2503

Call (757) 822-6337 Map

Fax (888) 704-5051

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X2030-01-001 (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 1528508264

Family Extensions, LLC's National Provider Identifier is 1528508264, issued on Feb 28, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Norfolk, VA. The record was last updated on Feb 28, 2017.