NPI 1790226215

B & R Supportive Living, LLC

Organisation Case Management Agency Norfolk, VA

Practice location

Address: 5752 Andrea Dr Norfolk, VA 23518, Norfolk, VA 23518-5743
Phone: (757) 367-1961
Fax: (757) 499-6323

Authorised official

Name: Wynter Wynette Riddick
Title: Owner
Phone: (757) 367-1961

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Registry record

NPI: 1790226215
Entity type: Organization
NPI issued: 16 Mar 2017
Record last updated: 28 Nov 2022

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.