Organization
PASSIONATE HEARTS SUPPORTIVE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY RAY YARBOROUGH (DIRECTOR)
(757) 404-3815
Entity
Organization
Contact information
Practice address
6253 AUBURN DR, VIRGINIA BEACH, VA 23464-3714
(757) 404-3815
Mailing address
3705 JUNIPER LN, VIRGINIA BEACH, VA 23456-8133
(757) 404-3815
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
08/14/2023
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