Organization
AMAZINGS GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA A GBADEBO RN (PROGRAM DIRECTOR)
(804) 218-2595
Entity
Organization
Contact information
Practice address
4001 HAWKBILL COURT, N CHESTERFIELD, VA 23237
(804) 218-2595
(804) 714-0023
Mailing address
4001 HAWKBILL COURT, N CHESTERFIELD, VA 23237
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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