Organization
HOPE INTENSIVE IN HOME SERVICES
Active
Parent organization
PHOENIX-N-PEACE ADULT CARE RESIDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX-N-PEACE ADULT CARE RESIDENCE
Authorized official
MARILYN COLEMAN NEWBY (OWNER)
(804) 991-3491
Entity
Organization
Contact information
Practice address
17 HOLLYHILL DR, PETERSBURG, VA 23805-2559
(804) 863-2071
(804) 863-2073
Mailing address
18799 LOVING UNION RD, DISPUTANTA, VA 23842-7038
(804) 991-3491
(804) 991-3581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40005001
VA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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