Organization
MIANGEL RELIABLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAMANDA WARD (OWNER)
(757) 287-5477
Entity
Organization
Contact information
Practice address
443 BROAD ST, PORTSMOUTH, VA 23707-2003
(757) 287-5477
Mailing address
1400 RIVERS EDGE TRCE, CHESAPEAKE, VA 23323-5749
(757) 287-5477
(757) 397-7759
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
10/11/2024
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