# ROANENTERPRISES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 180 Boys Adolescent Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487730008
- **Authorized official:** MR. MARVIN VAN ROANE (PRESIDENT/CEO)
- **Authorized official phone:** (804) 349-6382

## Contact information

- **Practice address:** 5612 VININGS DR APT 106-7, RICHMOND, VA 23234-4690
- **Practice address phone:** (804) 714-0737
- **Practice address fax:** (804) 622-4894
- **Mailing address:** PO BOX 322, RICHMOND, VA 23218-0322
- **Mailing address phone:** (804) 349-6382
- **Mailing address fax:** (804) 622-4894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SS-280-06 | VA | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020