| Organization Name: | GROUP RESIDENTIAL AND CARE ESTABLISHMENT |
| NPI Number: | 1144699034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY JEROME HAWKINS (DIRECTOR) |
| Mailing Address: | 2021b Cunningham Dr Suite 3 Hampton |
| State: | VA US |
| Postal Code: | 236663326 |
| Phone Number: | 7573258399 |
| Fax Number: | 7573258321 |
| NPI Enumeration Date: | 09/21/2015 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 71303011 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |