Unique Friends Llc

NPI 1659454858 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1659454858
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CAROLYN LAVERNE CAROLYN
Position ADMINISTRATOR
Phone (757) 484-4009
Fax (757) 686-8990
Practice Location
3805 OLD FARM RD
PORTSMOUTH VA, 23703, US
Phone (757) 484-4009
Fax (757) 686-8990
Business Location
3805 OLD FARM RD
PORTSMOUTH VA, 23703, US
Phone (757) 484-4009
Fax (757) 686-8990
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Unique Friends Llc NPI is 1659454858, taxonomy code is 320900000X Unique Friends Llc physically located at 3805 Old Farm Rd, Portsmouth VA, 23703. NPI Number 1033115704 has the healthcare provider type.

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1659454858 NPI number is provided on an as is basis without warranty of any kind. 1659454858 is maintained by the National Plan & Provider Enumeration System. The contents of Unique Friends Llc are for informational purposes only.