| Morning-star Group Home Llc | |
|
4129 Catlett Rd Catlett VA 20119-2163 | |
| (571) 201-6160 | |
| Not Available |
| Full Name | Morning-star Group Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4129 Catlett Rd, Catlett, Virginia |
| Authorized Official Name and Position | Adwoa Kwartemah (OWNER) |
| Authorized Official Contact | 1571201616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning-star Group Home Llc 4129 Catlett Rd Catlett VA 20119-2163 Ph: (571) 201-6160 | Morning-star Group Home Llc 4129 Catlett Rd Catlett VA 20119-2163 Ph: (571) 201-6160 |
| NPI Number | 1629831755 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629831755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |