Organization
KIMBERLYNN'S COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MOSES (CEO)
(804) 625-5174
Entity
Organization
Contact information
Practice address
414 E TENNESSEE AVE, CREWE, VA 23930-2028
(804) 625-5174
Mailing address
401 TUNSTALL AVE, BLACKSTONE, VA 23824-1619
(804) 625-5174
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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