Organization
VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Active
Other names
Baker House - Virginia Beach Mental Retardation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE C PRICE M.S. (DIRECTOR OPERATIONS)
(301) 389-3166
Entity
Organization
Contact information
Practice address
5677 HERBERT MOORE ROAD, VIRGINIA BEACH, VA 23462
(301) 389-3156
(301) 389-3195
Mailing address
7505 GREENWAY CENTER DRIVE, SUITE 201, GREENBELT, MD 20770
(301) 389-3156
(301) 389-3166
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
175-01-001
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
175-01-001
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4947941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4947941
—
VA
Enumeration date
06/29/2006
Last updated
01/03/2013
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