Blooming Queens LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newport News, VA. Organization (NPI-2).
NPI number1144042516
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1144042516
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooming Queens LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2024
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 372500000X | Chore Provider | – | – |
Practice location
3000 Marshall AveNewport News, VA 23607-3502
Phone 757-232-9657
Mailing address
416 Terrywood DrSuffolk, VA 23434-4449
Phone 757-232-9657
Authorized official
Tenee Bell
Owner/Ceo
7572329657
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