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Organization

BRAXTON FAMILY SERVICES

Active
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Organization

BRAXTON FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKARIE AMON PURNELL (CEO/MANAGER)
(252) 690-1254
Entity
Organization

Contact information

Practice address
2112 VICTORIA BLVD, HAMPTON, VA 23661-2652
(252) 690-1254
Mailing address
2112 VICTORIA BLVD, HAMPTON, VA 23661-2652
(252) 690-1254

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—

Other

Enumeration date
01/22/2026
Last updated
08/15/2026
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