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Loving Grace House Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, Virginia
NPI 1013394089

Loving Grace House Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Norfolk, VA. Loving Grace House Llc practices in Norfolk, VA. The NPI Number for Loving Grace House Llc is 1013394089 and holds a License No. 2310 (Virginia).

The current practice location address for Loving Grace House Llc is 3642 Riverside Dr, Norfolk, VA and can be reached out via phone at 757-822-6989.

Location: 3642 Riverside Dr, Norfolk, VA, 23502-4356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013394089
Provider Name
Loving Grace House Llc
Credential
Provider Entity Type
Organization
Address
3642 Riverside Dr, Norfolk, VA, 23502-4356
Phone Number
757-822-6989
Fax Number
Provider Enumeration Date
04/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3642 Riverside Dr
City
Norfolk
State
Virginia
Zip
23502-4356
Phone Number
757-822-6989
Fax Number
person
Provider Business Mailing Address Details
Address
3642 Riverside Dr
City
Norfolk
State
Virginia
Zip
23502-4356
Phone Number
757-822-6989
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2310 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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