NPI 1013394089

Loving Grace House LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Norfolk, VA

Practice location

Address: 3642 Riverside Dr, Norfolk, VA 23502-4356
Phone: (757) 822-6989

Authorised official

Name: Dorian Lee Flood
Title: Owner
Phone: (757) 235-9390

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 2310 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1013394089
Entity type: Organization
NPI issued: 29 Apr 2015
Record last updated: 29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.