Organization
K&R GLOWING PRIDE RESIDENTIAL SERVICES OF VIRGINIA
Active
Other names
K&R Glowing Pride Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANA L RICE (CEO)
(317) 517-7688
Entity
Organization
Contact information
Practice address
900 COMMONWEALTH PL, VIRGINIA BEACH, VA 23464-4517
(317) 517-7688
Mailing address
2819 MATERA DR, SAINT CLOUD, FL 34771-9155
(317) 517-7688
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
02/06/2025
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