Organization
FINE FRUIT RESIDENTIAL LLC
Active
Organization
FINE FRUIT RESIDENTIAL LLC
Active
Other names
Fine Fruit Residential LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BUIE-FLYTHE (OWNER)
(757) 528-1449
Entity
Organization
Contact information
Practice address
3711 PALM CT, PORTSMOUTH, VA 23703-2625
(757) 528-1449
Mailing address
3807 AUGUSTINE CIR, PORTSMOUTH, VA 23703-2502
(757) 528-1449
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
04/05/2021
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