Organization
DD KING LIVING FACILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELRICK DEVON KING (OWNER)
(757) 270-5585
Entity
Organization
Contact information
Practice address
207 DUNN CIR, HAMPTON, VA 23666
(757) 270-5585
Mailing address
207 DUNN CIR, HAMPTON, VA 23666-5678
(757) 270-5585
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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