Organization
OWENS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEAN OWENS (OWNER)
(203) 543-8256
Entity
Organization
Contact information
Practice address
106 NEWTOWN CT, SUFFOLK, VA 23434-9299
(757) 539-2245
Mailing address
106 NEWTOWN CT, SUFFOLK, VA 23434-9299
(757) 539-2245
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1006-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346423894
—
VA
Enumeration date
08/22/2008
Last updated
08/22/2008
Update your record
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