Organization
FAMMAT (FAMILY MATTERS) SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE ANTONIO GHOLSON II (CHIEF EXECUTIVE OFFICER)
(757) 223-9177
Entity
Organization
Contact information
Practice address
813 FORREST DR, SUITE 1, NEWPORT NEWS, VA 23606-4513
(757) 223-9177
(757) 240-4091
Mailing address
813 FORREST DR, SUITE 1, NEWPORT NEWS, VA 23606-4513
(757) 223-9177
(757) 240-4091
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
666-03-001
VA
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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