Organization
LOVE 1ST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHA ROBERTA CLARK (CEO)
(716) 421-4279
Entity
Organization
Contact information
Practice address
16317 HAMILTON ARMS RD, DEWITT, VA 23840-3105
(716) 421-4279
Mailing address
6919 BRYANBELL DR, NORTH CHESTERFIELD, VA 23234-8001
(716) 421-4279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3323
VA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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