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FANNIE'S DIVINE MIRACLES,LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1093110439Organization

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

1956(VA)
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Contact & Hours

Address
1100 HOLLADAY ST
PORTSMOUTH, VA 23704

Quick Facts

NPI
1093110439
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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