Organization
CARLISLE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROLELIAN VICTORIA BOONE (CEO/OWNER)
(757) 344-0839
Entity
Organization
Contact information
Practice address
3501 FULCRUM CT, CHESAPEAKE, VA 23323-1246
(757) 344-0839
Mailing address
3501 FULCRUM CT, CHESAPEAKE, VA 23323-1246
(757) 344-0839
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
11L23566
VA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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