Organization
BLOOMING QUEENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEE BELL (OWNER/CEO)
(757) 232-9657
Entity
Organization
Contact information
Practice address
3000 MARSHALL AVE, NEWPORT NEWS, VA 23607-3502
(757) 232-9657
Mailing address
416 TERRYWOOD DR, SUFFOLK, VA 23434-4449
(757) 232-9657
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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