Organization · NPI-2
Be Heaven Residential Living
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Chesapeake, VA
NPI number1215507702
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1215507702
- Entity type
- Organization (NPI-2)
- Legal business name
- Be Heaven Residential Living
- Organization subpart
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1013 Hillwell RdChesapeake, VA 23322-3604
Phone 757-807-8173
Mailing address
1013 Hillwell RdChesapeake, VA 23322-3604
Phone 757-807-8173
Authorized official
Simone Brown
Ceo
7578078173
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