Organization
FIVE STAR RESIDENTIAL DAY SUPPORT
Active
Organization
FIVE STAR RESIDENTIAL DAY SUPPORT
Active
Parent organization
FIVE STAR RESIDENTIAL LIVING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR RESIDENTIAL LIVING LLC
Authorized official
MRS. EDITH ARANDELA RN,BSN,CCRN (CEO)
(757) 642-4968
Entity
Organization
Contact information
Practice address
902 LUCAS CREEK RD, NEWPORT NEWS, VA 23608-2749
(757) 369-0290
Mailing address
902 LUCAS CREEK RD, NEWPORT NEWS, VA 23608-2749
(757) 369-0290
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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