Organization
ROANENTERPRISES, LLC.
Active
Other names
180 Boys Adolescent Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN VAN ROANE (PRESIDENT/CEO)
(804) 349-6382
Entity
Organization
Contact information
Practice address
5612 VININGS DR APT 106-7, RICHMOND, VA 23234-4690
(804) 714-0737
(804) 622-4894
Mailing address
PO BOX 322, RICHMOND, VA 23218-0322
(804) 349-6382
(804) 622-4894
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-280-06
VA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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