Organization
AMAZING COMMUNITY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELENE MEDLEY (CEO)
(757) 739-6359
Entity
Organization
Contact information
Practice address
1412 VANCE CIR, CHESAPEAKE, VA 23320-3262
(757) 739-6359
Mailing address
1412 VANCE CIR, CHESAPEAKE, VA 23320-3262
(757) 739-6359
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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