Organization
RESIDENTIAL IMPACT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARQUES DORRELL HENDRICKS (OWNER)
(757) 372-7330
Entity
Organization
Contact information
Practice address
5245 CLEVELAND ST STE 207, VIRGINIA BEACH, VA 23462-6505
(757) 372-7330
Mailing address
5245 CLEVELAND ST STE 207, VIRGINIA BEACH, VA 23462-6505
(757) 372-7330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
08/25/2025
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