Organization
NEW LIFE PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA BEATRICE CLEAVES (PRESIDENT)
(757) 818-9326
Entity
Organization
Contact information
Practice address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 818-9326
(757) 533-9634
Mailing address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 818-9326
(757) 533-9634
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43805001
—
VA
Enumeration date
09/27/2006
Last updated
03/18/2009
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