institution
Fannie's Divine Miracles,llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portsmouth, Virginia
NPI 1093110439

Fannie's Divine Miracles,llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Portsmouth, VA. Fannie's Divine Miracles,llc practices in Portsmouth, VA. The NPI Number for Fannie's Divine Miracles,llc is 1093110439 and holds a License No. 1956 (Virginia).

The current practice location address for Fannie's Divine Miracles,llc is 1100 Holladay St, Portsmouth, VA and can be reached out via phone at 757-729-0009 and via fax at 757-966-5334.

Location: 1100 Holladay St, Portsmouth, VA, 23704-2232
institution
Provider Profile Details
NPI Number
1093110439
Provider Name
Fannie's Divine Miracles,llc
Credential
Provider Entity Type
Organization
Address
1100 Holladay St, Portsmouth, VA, 23704-2232
Phone Number
757-729-0009
Fax Number
757-966-5334
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 Holladay St
City
State
Zip
23704-2232
Phone Number
757-729-0009
Fax Number
757-966-5334
person
Provider Business Mailing Address Details
Address
1100 Holladay St
City
State
Zip
23704-2232
Phone Number
757-729-0009
Fax Number
757-966-5334
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
1956 (Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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