Organization
OUR LOVING ABODE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANIQUA PINARD RN (CHIEF EXECUTIVE OFFICER)
(757) 769-1177
Entity
Organization
Contact information
Practice address
1936 SUN VALLEY DR, VIRGINIA BEACH, VA 23464-7420
(757) 769-1177
Mailing address
1936 SUN VALLEY DR, VIRGINIA BEACH, VA 23464-7420
(757) 769-1177
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/20/2022
Last updated
02/01/2024
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