Individual
MADGE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4713 THRESHER CT, VIRGINIA BEACH, VA 23464-6310
(757) 473-3277
Mailing address
4713 THRESHER CT, VIRGINIA BEACH, VA 23464-6310
(757) 473-3277
(757) 473-3277
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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