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Edifying Lives
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, Virginia
NPI 1902203235

Edifying Lives is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Norfolk, VA. Edifying Lives practices in Norfolk, VA. The NPI Number for Edifying Lives is 1902203235 and holds a License No. OHS 2089 (Virginia).

The current practice location address for Edifying Lives is 204 W 33Rd St, Norfolk, VA and can be reached out via phone at 757-333-9264.

Location: 204 W 33Rd St, Norfolk, VA, 23504-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902203235
Provider Name
Edifying Lives
Credential
Provider Entity Type
Organization
Address
204 W 33Rd St, Norfolk, VA, 23504-1408
Phone Number
757-333-9264
Fax Number
Provider Enumeration Date
12/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2089 05 VA
institution
Provider Business Practice Location Address Details
Address
204 W 33Rd St
City
Norfolk
State
Virginia
Zip
23504-1408
Phone Number
757-333-9264
Fax Number
person
Provider Business Mailing Address Details
Address
204 W 33Rd St
City
Norfolk
State
Virginia
Zip
23504-1408
Phone Number
757-333-9264
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.
OHS 2089 (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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