Individual
FELTON HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 GARRETT DR, HAMPTON, VA 23669-3661
(757) 478-6843
Mailing address
147 GARRETT DR, HAMPTON, VA 23669-3661
(757) 478-6843
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4190-01-001
VA
Other
Enumeration date
05/02/2023
Last updated
05/04/2023
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