Organization · NPI-2

Dandelion Homes Foundation

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Chesapeake, VA

NPI number1669149498
StatusActive
Last updated in NPPESAug 28, 2021

Details

NPI
1669149498
Entity type
Organization (NPI-2)
Legal business name
Dandelion Homes Foundation
Organization subpart
No
Enumeration date
Aug 28, 2021
Certification date
Jul 29, 2021
Last updated
Aug 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Other names

  • Dandelion Homes Foundation (Doing Business As)

Practice location

313 Holly Glen Dr
Chesapeake, VA 23325-4691

Phone 757-417-9508

Mailing address

313 Holly Glen Dr
Chesapeake, VA 23325-4691

Phone 757-417-9508

Authorized official

Shambri Lenee Myers
Ceo
7574179508

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