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Organization

AN IDEAL LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE UNIQUE WYNN (OWNER)
(757) 339-8155
Entity
Organization

Contact information

Practice address
705 BULRUSH CT, CHESAPEAKE, VA 23320-9269
(757) 339-8155
Mailing address
705 BULRUSH CT, CHESAPEAKE, VA 23320-9269
(757) 339-8155

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
06/04/2025
Last updated
06/04/2025
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