Organization
FRIEND VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUV TOISHEA FRIEND RN (CEO)
(917) 439-6563
Entity
Organization
Contact information
Practice address
3604 KINGDOM CT, VIRGINIA BEACH, VA 23452-3202
(757) 486-6983
Mailing address
3604 KINGDOM CT, VIRGINIA BEACH, VA 23452-3202
(757) 486-6983
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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