Organization · NPI-2

Burton Station LLC

Day Training, Developmentally Disabled Services · Norfolk, VA

NPI number1629963764
StatusActive
Last updated in NPPESJun 10, 2025

Details

NPI
1629963764
Entity type
Organization (NPI-2)
Legal business name
Burton Station LLC
Organization subpart
No
Enumeration date
Jun 10, 2025
Certification date
Jun 10, 2025
Last updated
Jun 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Other names

  • Reserved Residency (Doing Business As)

Practice location

4500 Larkin St
Norfolk, VA 23513-3918

Phone 757-991-3295

Mailing address

4500 Larkin St
Norfolk, VA 23513-3918

Phone 757-991-3295

Authorized official

Daveyon Burton
Owner
7579913295

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