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Organization

COLORFUL BEGINNINGS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLARENCE LORENZO MAYO (OWNER/CEO)
(757) 209-1060
Entity
Organization

Contact information

Practice address
128 INDEPENDENCE CT, SUFFOLK, VA 23434-2369
(757) 209-1060
(757) 922-8082
Mailing address
128 INDEPENDENCE CT, SUFFOLK, VA 23434-2369
(757) 209-1060
(757) 922-8082

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3584
VA
Enumeration date
07/08/2022
Last updated
07/08/2022
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