NPI 1265776751
Sister's Developing Growth & Change, LLC
Practice location
- Address
- 6101 Bradford Drive #b, Suffolk, VA 23435
- Phone
- (757) 967-0785
- Fax
- (757) 335-7003
- Mailing address
- 1410 Carson Crescent West, Portsmouth, VA 23701
Authorised official
- Name
- Zenda Lynette Whitley-Jones
- Title
- Owner/Administrator
- Phone
- (757) 327-6752
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1265776751
- Entity type
- Organization
- NPI issued
- 21 Nov 2012
- Record last updated
- 21 Nov 2012
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.