| Kindhearted Supportive Services Llc | |
|
4665 Haygood Rd Ste 401 Virginia Beach VA 23455-5443 | |
| (757) 404-9744 | |
| (757) 301-5506 |
| Full Name | Kindhearted Supportive Services Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 4665 Haygood Rd Ste 401, Virginia Beach, Virginia |
| Authorized Official Name and Position | Kimyatta Rivers (OWNER) |
| Authorized Official Contact | 7579960665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindhearted Supportive Services Llc 4665 Haygood Rd Ste 401 Virginia Beach VA 23455-5443 Ph: (757) 404-9744 | Kindhearted Supportive Services Llc 4665 Haygood Rd Ste 401 Virginia Beach VA 23455-5443 Ph: (757) 404-9744 |
| NPI Number | 1598572109 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598572109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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