| NPI | 1750237418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA RODGERS Owner 757-389-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 253J00000X Foster Care Agency | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 372600000X Adult Companion | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-18 |