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Organization

OBEDIENT CARE LLC

Active
Other names
Obedient Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
REYNALDO ROA (CEO)
(757) 816-0619
Entity
Organization

Contact information

Practice address
5545 BACCALAUREATE DR, VA BEACH, VA 23462-7330
(757) 816-0619
Mailing address
3117 CROSSTIMBER WAY, VA BEACH, VA 23456-2474
(757) 816-0619

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
09/20/2019
Last updated
09/20/2019
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