Organization
FAITH HOPE CARE PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE MAYO (DIRECTOR)
(757) 209-1060
Entity
Organization
Contact information
Practice address
153 BLACKHEATH, WILLIAMSBURG, VA 23188-7482
(757) 209-1060
Mailing address
153 BLACKHEATH, WILLIAMSBURG, VA 23188-7482
(757) 209-1060
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1586
VA
Other
Enumeration date
05/20/2014
Last updated
06/09/2014
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