Organization
MDEVANS LLC
Active
Other names
MDEvans Adult Residential & DSS Training
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FIATA D JONES (MANAGING MEMBER)
(757) 496-9604
Entity
Organization
Contact information
Practice address
5660 E VIRGINIA BEACH BLVD, SUITE 102, NORFOLK, VA 23502-2468
(757) 469-9604
Mailing address
5660 E VIRGINIA BEACH BLVD, SUITE 102, NORFOLK, VA 23502-2468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
916149
VA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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