Organization
LIFE IN COLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHENA WINFIELD (CEO)
(757) 994-3053
Entity
Organization
Contact information
Practice address
300 CRIPPLE CREEK CT, VIRGINIA BEACH, VA 23452-7619
(757) 645-7791
Mailing address
300 CRIPPLE CREEK CT, VIRGINIA BEACH, VA 23452-7619
(757) 645-7791
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/03/2024
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