Organization
LIFE BUILDERS FAMILY SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE BARNES PROFESSIONAL COUNSEL (CEO/DIRECTOR)
(757) 660-3948
Entity
Organization
Contact information
Practice address
260 MARCELLA RD #804, HAMPTON, VA 23666-2596
(757) 660-3948
Mailing address
260 MARCELLA RD #804, HAMPTON, VA 23666-2596
(757) 660-3948
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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