Organization
DAVID'S HOPE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIELOU GILLIAM (CEO)
(757) 608-1397
Entity
Organization
Contact information
Practice address
19 NATALIE DR, HAMPTON, VA 23666-5567
(757) 608-1397
Mailing address
19 NATALIE DR, HAMPTON, VA 23666-5567
(757) 608-1397
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/19/2024
Last updated
06/04/2025
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