Organization
SURE SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNARD WILSON (OWNER)
(804) 943-7997
Entity
Organization
Contact information
Practice address
25016 CREEK LN, NORTH DINWIDDIE, VA 23803-8865
(804) 453-2022
Mailing address
14117 MORRISON CT, WOODBRIDGE, VA 22193-4434
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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