SHAWANA ROACH

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1790276186Individual

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

2452--01-001(VA)

Contact & Hours

Address: 10424 WALTON LAKE RD
DISPUTANTA, VA 23842
Phone: (757) 477-0424

Quick Facts

NPI: 1790276186
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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