Organization
ZOE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARVARIS MCCOY (CEO)
(804) 381-2501
Entity
Organization
Contact information
Practice address
8341 CHARLISE RD, RICHMOND, VA 23235-2003
(804) 608-9631
Mailing address
1605 NORTHBURY AVE, HENRICO, VA 23231-5161
(804) 608-9631
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2079
VA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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