Organization
EBENEZER PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUSOLA OLASIMBO TALABI (DIRECTOR)
(757) 776-7472
Entity
Organization
Contact information
Practice address
305 DAUPHIN LN, VIRGINIA BEACH, VA 23452-5407
(757) 776-7472
Mailing address
305 DAUPHIN LN, VIRGINIA BEACH, VA 23452-5407
(757) 776-7472
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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