NPI 1083508063
The Difference 757
Practice location
- Address
- 115 Diggs Dr, Hampton, VA 23666-1757
- Phone
- (757) 775-0113
- Mailing address
- 3225 McLeod Dr STE 100, Las Vegas, NV 89121-2257
Authorised official
- Name
- Jennine Rochelle Booth
- Title
- Manager
- Phone
- (757) 775-0113
Registered specialties (3)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Home Health Agency
Respite Care
Registry record
- NPI
- 1083508063
- Entity type
- Organization
- NPI issued
- 5 Jun 2025
- Record last updated
- 26 Jun 2025
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.