Ignited Families, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newport News, VA. Organization (NPI-2).
NPI number1013552611
StatusActive
Last updated in NPPESNov 7, 2019
Details
- NPI
- 1013552611
- Entity type
- Organization (NPI-2)
- Legal business name
- Ignited Families, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2019
- Last updated
- Nov 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
308 Maple AveNewport News, VA 23607-4916
Phone 757-310-3063
Mailing address
308 Maple AveNewport News, VA 23607-4916
Phone 757-310-3063
Authorized official
Talaya Fraley
Ceo
7573103063
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