| NPI | 1619561792 |
|---|---|
| Former Legal Business Name | FINE FRUIT RESIDENTIAL LLC |
| Entity Type | Organization |
| Authorized Contact | LISA BUIE-FLYTHE Owner 757-528-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-05 |