NPI 1265696868

Destiny's House Residential Services, LLC.

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

Practice location

Address: 602 Tam O Shanter Blvd, Williamsburg, VA 23185-5922
Phone: (757) 903-4236

Authorised official

Name: Patrice Muhammad
Title: Executive Director
Phone: (757) 903-4236

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 990 (VA)

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

Registry record

NPI: 1265696868
Entity type: Organization
NPI issued: 12 Jul 2008
Record last updated: 14 Jul 2008

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.