Individual
GAIL R HARDYBOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RESEARCH DR STE 101, CHESAPEAKE, VA 23320-5988
(757) 582-7240
Mailing address
200 RESEARCH DR STE 101, CHESAPEAKE, VA 23320-5988
(757) 582-7240
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049442244
—
VA
Enumeration date
06/18/2017
Last updated
06/18/2017
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