Kenneth Moody Sr.
Kenneth Moody Sr. is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hampton, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2014
Practice location Address checks out
1043 Aberdeen RdHampton, VA 23666-4803
Phone: (757) 597-1453
Fax: (757) 838-7663
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 2599 (VA) |
|---|
Record details
| NPI number | 1639572068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 30, 2014 |
| Last updated in NPPES | September 30, 2014 |
| Mailing address | 1043 Aberdeen Rd, Hampton, VA 23666-4803 |
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