Individual
NATHANIEL LITTLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 SIR GALAHAD DR, CHESAPEAKE, VA 23323-2617
(757) 681-1830
Mailing address
1140 SIR GALAHAD DR, CHESAPEAKE, VA 23323-2617
(757) 681-1830
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
3037
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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