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Nathaniel Little JR.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chesapeake, Virginia
NPI 1447906151

Nathaniel Little JR. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Chesapeake, VA. Nathaniel Little JR. practices in Chesapeake, VA. The NPI Number for Nathaniel Little JR. is 1447906151 and holds a License No. (Virginia).

The current practice location address for Nathaniel Little JR. is 1140 Sir Galahad Dr, Chesapeake, VA and can be reached out via phone at 757-681-1830.

Location: 1140 Sir Galahad Dr, Chesapeake, VA, 23323-2617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447906151
Provider Name
Nathaniel Little JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1140 Sir Galahad Dr, Chesapeake, VA, 23323-2617
Phone Number
757-681-1830
Fax Number
Provider Enumeration Date
02/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1140 Sir Galahad Dr
City
Chesapeake
State
Virginia
Zip
23323-2617
Phone Number
757-681-1830
Fax Number
person
Provider Business Mailing Address Details
Address
1140 Sir Galahad Dr
City
Chesapeake
State
Virginia
Zip
23323-2617
Phone Number
757-681-1830
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.
()
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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