Organization
KMB RESIDENTIAL LLC
Active
Other names
KB Residential
Organization subpart
No
Provider details
NPI number
Authorized official
KALYN M BLACKSHEAR (CEO/OWNER)
(577) 289-6447
Entity
Organization
Contact information
Practice address
2500 BELMONT STAKES DR, VIRGINIA BEACH, VA 23456-8128
(757) 289-6447
Mailing address
2500 BELMONT STAKES DR, VIRGINIA BEACH, VA 23456-8128
(757) 289-6447
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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