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Extended Love Agency Corp
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Newport News, Virginia
NPI 1700131364

Extended Love Agency Corp is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Newport News, VA. Extended Love Agency Corp practices in Newport News, VA. The NPI Number for Extended Love Agency Corp is 1700131364 and holds a License No. 1784 (Virginia).

The current practice location address for Extended Love Agency Corp is 714 23Rd St, Newport News, VA and can be reached out via phone at 757-380-0433.

Location: 714 23Rd St, Newport News, VA, 23607-4614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700131364
Provider Name
Extended Love Agency Corp
Credential
Provider Entity Type
Organization
Address
714 23Rd St, Newport News, VA, 23607-4614
Phone Number
757-380-0433
Fax Number
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
714 23Rd St
City
Newport News
State
Virginia
Zip
23607-4614
Phone Number
757-380-0433
Fax Number
person
Provider Business Mailing Address Details
Address
714 23Rd St
City
Newport News
State
Virginia
Zip
23607-4614
Phone Number
757-380-0433
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
1784 (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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