Organization
B&M GROUP HOMES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS KEVIN MOORE (CO OWNER)
(757) 641-1061
Entity
Organization
Contact information
Practice address
707 NEW BERN AVE, HAMPTON, VA 23669-1308
(757) 637-7975
(757) 637-7975
Mailing address
4043 OLD VIRGINIA RD, CHESAPEAKE, VA 23323-1620
(757) 641-1061
(866) 826-6388
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1140
VA
Other
Enumeration date
12/18/2009
Last updated
05/13/2010
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