Individual provider · Type 1 NPI

Keysha Nicole Sparrow

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

NPI number 1770355489 Active

Practice location

2709 Blueberry Bank Ste A
Chesapeake, VA 23325-4672

Call (757) 538-7696 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X8775 (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 1770355489

Keysha Nicole Sparrow's National Provider Identifier is 1770355489, issued on Oct 25, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 25, 2023.