Organization Name: | HALO, INC. |
NPI Number: | 1982677027 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY LEGROS (EXECUTIVE DIRECTOR) |
Mailing Address: | 1857a Fort Mahone St Petersburg |
State: | VA US |
Postal Code: | 238052761 |
Phone Number: | 8047339140 |
Fax Number: | 8047339216 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 523-01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |