Organization Name: | DD KING LIVING FACILITIES LLC |
NPI Number: | 1912216334 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELRICK DEVON KING (OWNER) |
Mailing Address: | 207 Dunn Cir Hampton |
State: | VA US |
Postal Code: | 23666 |
Phone Number: | 7572705585 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2010 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |