Organization
MAKING A DIFFERENCE INTENSIVE IN HOME COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSADRA C. HOUSTON (OWNER)
(757) 676-6614
Entity
Organization
Contact information
Practice address
332 BOB WHITE PKWY, SUFFOLK, VA 23435-3330
(757) 676-6614
Mailing address
332 BOB WHITE PKWY, SUFFOLK, VA 23435-3330
(757) 676-6614
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
VA
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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