Organization Name: | EMPTY ARMS OUTREACH MINISTRY, INC. |
NPI Number: | 1134374622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOY M. COMBS-MARSHALL (DIRECTOR) |
Mailing Address: | 4526 Brickwood Meadow Ct Petersburg |
State: | VA US |
Postal Code: | 238038866 |
Phone Number: | 8048610596 |
Fax Number: | 8048611239 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | SS14106, SS164/32608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |