| NPI | 1407957558 |
|---|---|
| Other Name | KRISTIE'S FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | TYRONE MAURICE MILLER Owner/Director/CEO 804-868-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 852-01-001) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 852) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-07-31 |