Organization
FRIENDS OF FAITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA DIXON (CEO)
(757) 401-7047
Entity
Organization
Contact information
Practice address
1112 6TH ST, PORTSMOUTH, VA 23704-6734
(757) 358-2769
Mailing address
1112 6TH ST, PORTSMOUTH, VA 23704-6734
(757) 401-7047
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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