Organization
NOBLE CARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE A MYRICK BACHELORS DEGREE I (PROGRAM DIRECTOR)
(757) 303-5846
Entity
Organization
Contact information
Practice address
507 WASHINGTON AVE, FRANKLIN, VA 23851-1556
(757) 303-5846
(757) 538-0064
Mailing address
225 HOLBROOK ARCH, SUFFOLK, VA 23434-2157
(757) 303-5846
(757) 538-0064
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
1602-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1602-01-001
VA
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163118638
—
VA
Enumeration date
03/09/2011
Last updated
11/03/2025
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