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 |