Organization
FAMILY EXTENSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERNITA ARTIS (CEO)
(757) 822-6337
Entity
Organization
Contact information
Practice address
779 LESNER AVE, NORFOLK, VA 23518-2503
(757) 822-6337
(888) 704-5051
Mailing address
779 LESNER AVE, NORFOLK, VA 23518-2503
(757) 822-6337
(888) 704-5051
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2030-01-001
VA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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