Organization
GENUINE HEARTS COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE MCKIVER (EXECUTIVE DIRECTOR)
(757) 737-3611
Entity
Organization
Contact information
Practice address
4824 CLIFFONY DR, VIRGINIA BEACH, VA 23464-8401
(757) 737-3611
Mailing address
4824 CLIFFONY DR, VIRGINIA BEACH, VA 23464-8401
(757) 737-3611
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2352
VA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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