Organization
THIMS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHIE EUDEAN SMITH RN,BSN,MSHS (CO-OWNER/PROGRAM DIRECTOR)
(757) 345-0824
Entity
Organization
Contact information
Practice address
36 HAMPTON KY, WILLIAMSBURG, VA 23185-5538
(757) 345-0824
(757) 345-0824
Mailing address
36 HAMPTON KY, WILLIAMSBURG, VA 23185-5538
(757) 345-0824
(757) 345-0824
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1925-01-001
VA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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