Organization
NEW HORIZON RESIDENTIAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIQAH MCLEOD (OWNER)
(757) 541-7199
Entity
Organization
Contact information
Practice address
3061 GODWIN BLVD APT 435, SUFFOLK, VA 23434-6866
(757) 541-7199
Mailing address
3061 GODWIN BLVD APT 435, SUFFOLK, VA 23434-6866
(757) 541-7199
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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