Organization
AA&G GROUP HOME,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN EVON MCCOY OWNER (DIRECTOR)
(757) 337-0375
Entity
Organization
Contact information
Practice address
100 GOLDEN SUNSET LANE, SUFFOLK, VA 23435
(757) 639-4336
Mailing address
2125 JEFFERSON ST, PORTSMOUTH, VA 23704-5431
(757) 337-0375
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
74901001
VA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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