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Organization

GOD'S MISSING ANGEL'S LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERRELL LINNETTE BAILY RN (OWNER)
(757) 312-8633
Entity
Organization

Contact information

Practice address
301 CROFT XING, CHESAPEAKE, VA 23320-7006
(757) 312-8633
Mailing address
301 CROFT XING, CHESAPEAKE, VA 23320-7006
(757) 312-8633
(757) 312-8633

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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