Organization
SUPPORTIVE FAMILY HEALTHCARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEMONI THOMAS MA, LMHP-R (OWNER/CEO)
(276) 806-4865
Entity
Organization
Contact information
Practice address
802 CLARKE RD, MARTINSVILLE, VA 24112-5408
(276) 336-8110
Mailing address
802 CLARKE RD, MARTINSVILLE, VA 24112-5408
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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