Organization
URBAN ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HAWKES (CAO)
(804) 230-2337
Entity
Organization
Contact information
Practice address
116 E 15TH ST, RICHMOND, VA 23224-3810
(804) 230-2337
Mailing address
116 E 15TH ST, RICHMOND, VA 23224-3810
(804) 230-2337
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1316-14-001
VA
385H00000X
Respite Care
1316-14-001
VA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
1316-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316-14-001
—
VA
05
—
1316-A
—
VA
Enumeration date
11/08/2009
Last updated
05/10/2010
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