Organization
MAMA'S HOUSE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA A MCCRAY (OWNER)
(804) 541-1529
Entity
Organization
Contact information
Practice address
2847 STANWIX LN, NORTH CHESTERFIELD, VA 23234-5041
(804) 716-7214
Mailing address
2847 STANWIX LN, NORTH CHESTERFIELD, VA 23234-5041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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