Organization
CAFORRAL AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LONNIE LLANA FITZGERALD (OWNER)
(434) 341-3863
Entity
Organization
Contact information
Practice address
113 DAVIS DR, DANVILLE, VA 24540-1437
(434) 341-3863
(434) 228-4935
Mailing address
PO BOX 10669, DANVILLE, VA 24543-5012
(434) 341-3863
(434) 228-4935
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
10/24/2024
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