Organization
RICMOLRAW1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON RAWLES (OWNER)
(757) 619-3276
Entity
Organization
Contact information
Practice address
946 SHORE DR, NEWPORT NEWS, VA 23607-6435
(757) 619-3276
Mailing address
2244 WELSH DR, VIRGINIA BEACH, VA 23456-6931
(757) 619-3276
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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