La Mariposa LLC
La Mariposa LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
475 Water St Apt 604Portsmouth, VA 23704-3899
Phone: (757) 403-0429
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 Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 2037 (VA) |
|---|
Record details
| NPI number | 1275872400 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gwendolyn Carlisle — Owner/Ceo · (757) 403-0429 |
| NPI enumerated | February 7, 2013 |
| Last updated in NPPES | February 7, 2013 |
| Mailing address | 475 Water St Apt 604, Portsmouth, VA 23704-3899 |
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