Organization
ANDREA'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANOVA S MITCHENER (OWNER)
(718) 924-0443
Entity
Organization
Contact information
Practice address
306 HOLLYWOOD AVE, HAMPTON, VA 23661-2504
(718) 924-0443
(718) 924-0443
Mailing address
510 WINE ST, HAMPTON, VA 23669-3163
(718) 924-0443
(718) 924-0443
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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