Organization
GIFTED HANDZ LLC
Active
Other names
Gifted Handz LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAKESHA D BROWN (OWNER)
(757) 639-3948
Entity
Organization
Contact information
Practice address
20 CENTRE PORT CIR, PORTSMOUTH, VA 23703-5453
(757) 639-3948
Mailing address
20 CENTRE PORT CIR, PORTSMOUTH, VA 23703-5453
(757) 639-3948
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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