Organization
ARBRE DE VIE HEALTHCARE SERVICES PARTNERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YUREACIA D.N. PARKER (CHIEF EXECUTIVE OFFICER)
(804) 307-8580
Entity
Organization
Contact information
Practice address
5804 TAJO AVE, VIRGINIA BEACH, VA 23455-4634
(804) 307-8580
(757) 495-2505
Mailing address
5804 TAJO AVE, VIRGINIA BEACH, VA 23455-4634
(804) 307-8580
(757) 495-2505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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