Organization
BLENDED COMMUNITIES, LLC
Active
Other names
Blended Communities
Organization subpart
No
Provider details
NPI number
Authorized official
YANOVA S MITCHENER (OWNER)
(718) 924-0443
Entity
Organization
Contact information
Practice address
1718 N KING ST STE 204, HAMPTON, VA 23669-1910
(757) 600-7642
(888) 860-3261
Mailing address
1718 N KING ST STE 204, HAMPTON, VA 23669-1910
(757) 600-7642
(888) 860-3261
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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