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Organization
FAITH HOPE & CHARITY RESIDENTIAL CARE CENTER LLC
Active
Organization
FAITH HOPE & CHARITY RESIDENTIAL CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH ANALISA MOODY BACHELOR OF SOCIAL W (CHIEF EXECUTIVE OFFICER)
(757) 692-2193
Entity
Organization
Contact information
Practice address
3409 DANA LANE, VIRGINIA BEACH, VA 23452
(757) 692-2193
(757) 200-4535
Mailing address
3409 DANA LANE, VIRGINIA BEACH, VA 23452
(757) 692-2193
(757) 200-4535
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
85301001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010343780
—
VA
01
—
85301001
COMMONWEALTH OF VA DMHMRS
VA
Enumeration date
01/12/2007
Last updated
06/24/2008
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