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Keda,llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mathews, Virginia
NPI 1255825287

Keda,llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dutton, VA. Keda,llc practices in Mathews, VA. The NPI Number for Keda,llc is 1255825287 and holds a License No. 3205 (Virginia).

The current practice location address for Keda,llc is 143 Maple Rd, Mathews, VA and can be reached out via phone at 804-725-8624.

Location: 143 Maple Rd, Mathews, VA, 23050-9732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255825287
Provider Name
Keda,llc
Credential
Provider Entity Type
Organization
Address
143 Maple Rd, Mathews, VA, 23050-9732
Phone Number
804-725-8624
Fax Number
Provider Enumeration Date
06/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3205 01 VA DBHDS LIC.#
institution
Provider Business Practice Location Address Details
Address
143 Maple Rd
City
Mathews
State
Virginia
Zip
23109-2139
Phone Number
804-725-8624
Fax Number
person
Provider Business Mailing Address Details
Address
143 Maple Rd
City
Mathews
State
Virginia
Zip
23109-2139
Phone Number
804-725-8624
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.
3205 (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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