Organization
PRECIOUS MOMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARESA ROBERTSON HAYNESWORTH (OWNERS)
(757) 550-7272
Entity
Organization
Contact information
Practice address
4701 81ST ST, HAMPTON, VA 23605-1621
(757) 550-7272
Mailing address
4701 81ST ST, HAMPTON, VA 23605-1621
(757) 550-7272
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
04/04/2016
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