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Calvin Jayne Quality Living, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Disputanta, Virginia
NPI 1275072993

Calvin Jayne Quality Living, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Disputanta, VA. Calvin Jayne Quality Living, Llc practices in Disputanta, VA. The NPI Number for Calvin Jayne Quality Living, Llc is 1275072993 and holds a License No. 2182-01-002 (Virginia).

The current practice location address for Calvin Jayne Quality Living, Llc is 6688 Tatum Rd, Disputanta, VA and can be reached out via phone at 804-550-8674 and via fax at 804-251-1299.

Location: 6688 Tatum Rd, Disputanta, VA, 23842-6902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275072993
Provider Name
Calvin Jayne Quality Living, Llc
Credential
Provider Entity Type
Organization
Address
6688 Tatum Rd, Disputanta, VA, 23842-6902
Phone Number
804-550-8674
Fax Number
804-251-1299
Provider Enumeration Date
02/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6688 Tatum Rd
City
Disputanta
State
Virginia
Zip
23842-6902
Phone Number
804-550-8674
Fax Number
804-251-1299
person
Provider Business Mailing Address Details
Address
6688 Tatum Rd
City
Disputanta
State
Virginia
Zip
23842-6902
Phone Number
804-550-8674
Fax Number
804-251-1299
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.
2182-01-002 (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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