Organization · NPI-2

An Unleashed Vision

Day Training, Developmentally Disabled Services · Newport News, VA

NPI number1861198152
StatusActive
Last updated in NPPESFeb 7, 2023

Details

NPI
1861198152
Entity type
Organization (NPI-2)
Legal business name
An Unleashed Vision
Organization subpart
No
Enumeration date
Feb 7, 2023
Certification date
Feb 7, 2023
Last updated
Feb 7, 2023

Taxonomy and licenses

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

Practice location

758 Mcguire Pl Ste B
Newport News, VA 23601-1669

Phone 757-992-1127

Mailing address

758 Mcguire Pl Ste B
Newport News, VA 23601-1669

Phone 757-992-1127

Authorized official

Loukeysela Patterson
Owner
7579921127

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