Heart To Heart Residential Services Llc

NPI 1093141517 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1093141517
Enumeration Date 09/16/2013
Last Updated 09/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHAKIA SHAKIA
Position ADMINISTRATIVE DIRECTOR
Phone (804) 833-0873
Fax
Practice Location
2115 N WHITEHILL DR
PETERSBURG VA, 23803-3731, US
Phone (804) 833-0873
Fax
Business Location
6012 MOONLIGHT DR
NORTH CHESTERFIELD VA, 23234-4620, US
Phone (804) 833-0873
Fax
Toxanomy
Taxonomy Code 320900000X
License State Virginia
License Number 1821-01-001
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According to our database, Heart To Heart Residential Services Llc NPI is 1093141517, taxonomy code is 320900000X and license number is 1821-01-001, license state is located at Virginia. Heart To Heart Residential Services Llc physically located at 2115 N Whitehill Dr, Petersburg VA, 23803-3731. NPI Number 1033115704 has the healthcare provider type.

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1093141517 NPI number is provided on an as is basis without warranty of any kind. 1093141517 is maintained by the National Plan & Provider Enumeration System. The contents of Heart To Heart Residential Services Llc are for informational purposes only.