Organization
MORNING STAR RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYINKA RITA OSOSANYA (CHIEF EXECUTIVE OFFICER)
(757) 746-9686
Entity
Organization
Contact information
Practice address
448 PUTNEY LN, NEWPORT NEWS, VA 23602-6422
(757) 746-9686
Mailing address
448 PUTNEY LN, NEWPORT NEWS, VA 23602-6422
(757) 746-9686
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2476
VA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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