NPI 1073069399

Gertrude Homes LLC

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

Practice location

Address: 7566 Quaker Dr, Suffolk, VA 23437-8906
Phone: (757) 567-0923
Mailing address: 7566 Quaker Drive, Suffolk, VA 23437-8906

Authorised official

Name: Clarence Russell
Title: Owner
Phone: (757) 567-0923

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 2121 (VA)

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

Registry record

NPI: 1073069399
Entity type: Organization
NPI issued: 28 Aug 2016
Record last updated: 28 Aug 2016

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.