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Organization

LIFE IS GOLDEN - KATHY L BUTLER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY L BUTLER (CEO)
(757) 286-6913
Entity
Organization

Contact information

Practice address
5750 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1454
(757) 488-3761
(757) 488-4676
Mailing address
5750 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1454
(757) 488-3761
(757) 488-4676

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2228
VA

Other

Enumeration date
11/19/2014
Last updated
11/20/2014
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