Sister'S Developing Growth & Change, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Suffolk, VA. Organization (NPI-2).
NPI number1265776751
StatusActive
Last updated in NPPESNov 21, 2012
Details
- NPI
- 1265776751
- Entity type
- Organization (NPI-2)
- Legal business name
- Sister'S Developing Growth & Change, LLC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2012
- Last updated
- Nov 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | #133601001 | VA | Yes |
Practice location
6101 Bradford Drive #bSuffolk, VA 23435
Phone 757-967-0785 · Fax 757-335-7003
Mailing address
1410 Carson Crescent WestPortsmouth, VA 23701
Phone 757-327-6752
Authorized official
Zenda Lynette Whitley-Jones
Owner/Administrator
7573276752
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