Organization
SISTER'S DEVELOPING GROWTH & CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZENDA LYNETTE WHITLEY-JONES (OWNER/ADMINISTRATOR)
(757) 327-6752
Entity
Organization
Contact information
Practice address
6101 BRADFORD DRIVE #B, SUFFOLK, VA 23435
(757) 967-0785
(757) 335-7003
Mailing address
1410 CARSON CRESCENT WEST, PORTSMOUTH, VA 23701
(757) 327-6752
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
#133601001
VA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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