NPI 1144699034

Group Residential and Care Establishment

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

Practice location

Address: 2021b Cunningham Dr Suite 3, Hampton, VA 23666-3326
Phone: (757) 325-8399
Fax: (757) 325-8321
Mailing address: PO Box 8227, Hampton, VA 23666-0280

Authorised official

Name: Rodney Jerome Hawkins
Title: Director
Phone: (757) 325-8399

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X Licence 71301001 (VA)

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

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X Licence 71303011 (VA)

Other In Home Supportive Care providers in Virginia →

Registry record

NPI: 1144699034
Entity type: Organization
NPI issued: 21 Sep 2015
Record last updated: 21 Sep 2015

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.