Organization
DUBIES LOVE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ANN TAYLOR (CEO)
(757) 718-7680
Entity
Organization
Contact information
Practice address
2500 ALMEDA AVE STE 114, NORFOLK, VA 23513-2403
(757) 408-0718
Mailing address
2500 ALMEDA AVE STE 114, NORFOLK, VA 23513-2403
(757) 408-0718
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1339
VA
343900000X
Non-emergency Medical Transport (VAN)
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339
—
VA
Enumeration date
02/04/2010
Last updated
10/16/2017
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