Organization
ZOE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARVARIS J MCCOY (CEO)
(804) 381-2501
Entity
Organization
Contact information
Practice address
4936 BLACK OAK RD, NORTH CHESTERFIELD, VA 23237-2139
(804) 608-9631
Mailing address
PO BOX 26432, RICHMOND, VA 23260-6432
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2079-01-001
VA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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