Organization
LIVING IN EXCELLENCE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICSHAWNA ELLERY SPALDING (CEO)
(502) 608-0109
Entity
Organization
Contact information
Practice address
106 TASSELL CRES, SUFFOLK, VA 23434-9354
(502) 608-0109
Mailing address
106 TASSELL CRES, SUFFOLK, VA 23434-9354
(502) 608-0109
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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