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Organization
THE DIFFERENCE 757
Active
Organization
THE DIFFERENCE 757
Active
Parent organization
GREENBRIAR PLACE LLC
Other names
The Difference 757
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENBRIAR PLACE LLC
Authorized official
JENNINE ROCHELLE BOOTH (MANAGER)
(757) 775-0113
Entity
Organization
Contact information
Practice address
115 DIGGS DR, HAMPTON, VA 23666-1757
(757) 775-0113
Mailing address
3225 MCLEOD DR STE 100, LAS VEGAS, NV 89121-2257
(757) 775-0113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/05/2025
Last updated
06/26/2025
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