Organization
TWELVE37, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHOMAS HODGE (CHIEF EXECUTIVE OFFICER)
(757) 579-0196
Entity
Organization
Contact information
Practice address
47 W QUEENS WAY STE C-3, HAMPTON, VA 23669-4075
(757) 769-7966
Mailing address
1706 TODDS LN UNIT 306, HAMPTON, VA 23666-3123
(757) 769-7966
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
02/25/2026
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