NPI 1124262712

Divine House, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Virginia Beach, VA

Practice location

Address: 3429 Stirrup Way, Virginia Beach, VA 23453-8546
Phone: (757) 202-0825
Mailing address: 912 Beaumeade CT, Virginia Beach, VA 23462-4642

Authorised official

Name: Bela Sv Amin
Title: Administrator
Phone: (757) 202-0825

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1157 (VA)

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

Registry record

NPI: 1124262712
Entity type: Organization
NPI issued: 27 Apr 2009
Record last updated: 27 Apr 2009

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.