Extended Love Agency Corp
Extended Love Agency Corp is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2012.
- Licensed in
- VA
- In the registry since
- 2012
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
714 23rd StNewport News, VA 23607-4614
Phone: (757) 380-0433
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 1784 (VA) |
|---|
Record details
| NPI number | 1700131364 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Hawkins — Owner · (757) 380-0433 |
| NPI enumerated | July 19, 2012 |
| Last updated in NPPES | July 19, 2012 |
| Mailing address | 714 23rd St, Newport News, VA 23607-4614 |
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