Organization
ENTRUSTED HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS TYRONE JOHNSON (CEO)
(757) 374-1741
Entity
Organization
Contact information
Practice address
6226 HEATHER GLEN DR, SUFFOLK, VA 23435-3133
(757) 374-1741
Mailing address
6226 HEATHER GLEN DR, SUFFOLK, VA 23435-3133
(757) 374-1741
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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