Organization
ASOCA
Active
Parent organization
ASOCA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASOCA
Authorized official
MRS. JACQUELINE BENITA LIPFORD-RAINEY (CO-OWNER)
(757) 768-3903
Entity
Organization
Contact information
Practice address
4410 EAST CLAIBORNE STREET, SUITE 334, HAMPTON, VA 23666
(757) 768-3903
Mailing address
142 MARCELLA RD, HAMPTON, VA 23666-2552
(757) 768-3903
(757) 825-2562
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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