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Organization

RE-CREATION RESIDENTIAL GROUP HOME SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAVANDA FLORES (CEO)
(215) 252-2996
Entity
Organization

Contact information

Practice address
1303 FILLMORE ST, PORTSMOUTH, VA 23704-6417
(215) 252-2996
(703) 563-2136
Mailing address
39 RIVERVIEW AVE, PORTSMOUTH, VA 23704-1916
(215) 252-2996

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
03/06/2026
Last updated
03/06/2026
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