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Organization
QUALITY LIVING OF HAMPTON ROADS,LLC
Active
Organization
QUALITY LIVING OF HAMPTON ROADS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MARIE BANKS (EXECUTIVE DIRECTOR)
(757) 724-2432
Entity
Organization
Contact information
Practice address
1109 FREEDOM AVE, PORTSMOUTH, VA 23701-3219
(757) 724-2432
(757) 399-8879
Mailing address
1506 PARKER AVE, PORTSMOUTH, VA 23704-4426
(757) 724-2432
(757) 399-8879
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
144401001
VA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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