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Extraordinary Changes Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chesapeake, Virginia
NPI 1841965696

Extraordinary Changes Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Chesapeake, VA. Extraordinary Changes Llc practices in Chesapeake, VA. The NPI Number for Extraordinary Changes Llc is 1841965696 and holds a License No. (Virginia).

The current practice location address for Extraordinary Changes Llc is 413 B St, Chesapeake, VA and can be reached out via phone at 757-735-5413.

Location: 413 B St, Chesapeake, VA, 23324-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841965696
Provider Name
Extraordinary Changes Llc
Credential
Provider Entity Type
Organization
Address
413 B St, Chesapeake, VA, 23324-2515
Phone Number
757-735-5413
Fax Number
Provider Enumeration Date
08/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 B St
City
Chesapeake
State
Virginia
Zip
23324-2515
Phone Number
757-735-5413
Fax Number
person
Provider Business Mailing Address Details
Address
413 B St
City
Chesapeake
State
Virginia
Zip
23324-2515
Phone Number
757-735-5413
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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