Organization
OUR HOME IS YOUR HOME II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON BUTCHER (ADMINISTRATOR)
(757) 961-6991
Entity
Organization
Contact information
Practice address
5644 ANTHONY RD, VIRGINIA BEACH, VA 23455-4604
(757) 961-6991
(757) 961-6991
Mailing address
5644 ANTHONY RD, VIRGINIA BEACH, VA 23455-4604
(757) 961-6991
(757) 961-6991
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2206-01-001
VA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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