Organization
ANNE'S GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINDELL WALLACE (DIRECTOR)
(757) 627-1520
Entity
Organization
Contact information
Practice address
722 LEXINGTON ST, NORFOLK, VA 23504-2427
(757) 627-1520
(757) 625-0194
Mailing address
722 LEXINGTON ST, NORFOLK, VA 23504-2427
(757) 627-1520
(757) 625-0194
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2099-01-001
VA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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