NPI 1063829380

Anne's Group Home INC

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

Practice location

Address: 722 Lexington St, Norfolk, VA 23504-2427
Phone: (757) 627-1520
Fax: (757) 625-0194

Authorised official

Name: Lindell Wallace
Title: Director
Phone: (757) 627-1520

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 2099-01-001 (VA)

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

Registry record

NPI: 1063829380
Entity type: Organization
NPI issued: 18 Jul 2014
Record last updated: 18 Jul 2014

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.