Organization
B & R SUPPORTIVE LIVING, LLC
Active
Other names
B&R Supportive Living Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WYNTER WYNETTE RIDDICK CEO (OWNER)
(757) 367-1961
Entity
Organization
Contact information
Practice address
5752 ANDREA DR, NORFOLK, VA 23518, NORFOLK, VA 23518-5743
(757) 367-1961
(757) 499-6323
Mailing address
5752 ANDREA DR, NORFOLK, VA 23518, NORFOLK, VA 23518-5743
(757) 367-1961
(757) 499-6323
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/16/2017
Last updated
11/28/2022
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