Organization
IN GOOD HANDS WITH NOAHS ARC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KALITA HARRIS (OWNER)
(804) 252-8087
Entity
Organization
Contact information
Practice address
4682 NEWLINE RD, GUM SPRING, VA 23065
(804) 252-8087
Mailing address
4682 NEWLINE RD, GUM SPRING, VA 23065
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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