NPI 1104484856

Alpha Omega Adult Home Care LLC

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

Practice location

Address: 3001 Bay Shore Ln, Suffolk, VA 23435-3175
Phone: (757) 438-2340
Fax: (757) 390-3678

Authorised official

Name: Maxine E Long
Title: Chief Executive Officer
Phone: (757) 438-2340

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1104484856
Entity type: Organization
NPI issued: 29 May 2019
Record last updated: 29 May 2019

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.