Organization
MADAM PATRICIA CHILDREN FOUNDATION
Active
Other names
HANDS OF CARE ANGELS
Organization subpart
No
Provider details
NPI number
Authorized official
REV LEONARD CHUKWUJIOKE-MBIHA CCMA MHA (HEALTHCARE ADMINISTRATOR)
(703) 814-6748
Entity
Organization
Contact information
Practice address
734 W LOCUST ST, JOHNSON CITY, TN 37604-6504
(703) 814-6748
(571) 441-0861
Mailing address
303 BLUE RIDGE AVE, FRONT ROYAL, VA 22630-3005
(703) 814-6748
(571) 441-0861
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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