Organization
AEM LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYSUNN MOSES-WALKER (OWNER)
(757) 402-9765
Entity
Organization
Contact information
Practice address
124 GILLIS RD, PORTSMOUTH, VA 23702
(757) 956-1017
Mailing address
555 SCHAEFER AVE, CHESAPEAKE, VA 23321-2729
(757) 402-9765
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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