NPI | 1598971079 |
---|---|
Doing Business As | REHOBETH RESIDENCE INC. |
Entity Type | Organization |
Authorized Contact | CHERAL WARD DIXON C.E.O. 757-567-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 405) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2009-06-26 |