Destiny'S House Residential Services, Llc. in Williamsburg - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Destiny'S House Residential Services, Llc. - NPI 1265696868
Destiny'S House Residential Services, Llc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Williamsburg, Virginia. Destiny'S House Residential Services, Llc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Destiny'S House Residential Services, Llc. is 1265696868. The last update date is 2008-07-14.
Destiny'S House Residential Services, Llc.'s current location address is 602 Tam O Shanter Blvd, Williamsburg, Virginia. You can contact this provider via phone number 7579034236. The mailing address for Destiny'S House Residential Services, Llc. is 602 Tam O Shanter Blvd, Williamsburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Destiny'S House Residential Services, Llc. |
|---|---|
| Address | 602 Tam O Shanter Blvd, Williamsburg, Virginia |
| Phone Number | 7579034236 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Muhammad Patrice |
| Telephone Number | 7579034236 |
NPI Number Detail
| NPI Number | 1265696868 |
|---|---|
| Provider Enumeration Date | 2008-07-12 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | 602 Tam O Shanter Blvd |
|---|---|
| City | Williamsburg |
| State | Virginia (VA) |
| Post Code | 231855922 |
| Phone Number | 7579034236 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 990 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the Destiny'S House Residential Services, Llc.'s 1265696868?
The Destiny'S House Residential Services, Llc.'s NPI (National Provider Identifier) Number is 1265696868. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Destiny'S House Residential Services, Llc.'s facilities are geographically located?
The facilities of Destiny'S House Residential Services, Llc. are physically situated at the following location: 602 Tam O Shanter Blvd, Williamsburg, VA, 231855922.
What is the area of specialization for Destiny'S House Residential Services, Llc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Destiny'S House Residential Services, Llc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date was the 1265696868 assigned to Destiny'S House Residential Services, Llc.?
The Destiny'S House Residential Services, Llc. was issued its 1265696868 on 2008-07-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Destiny'S House Residential Services, Llc. most recently updated or revised?
The details related to Destiny'S House Residential Services, Llc., including its address, specialty, and other relevant information, were last updated or revised on 2008-07-14.