Annzetta'S Therapeutic Home For Boys, Llc

LBN: Annzetta'S Therapeutic Home For Boys, Llc
Annzetta'S Therapeutic Home For Boys, Llc is an health care organization with primary practice located at 1834 Buckner St , Petersburg VA 23805-1705. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Annzetta'S Therapeutic Home For Boys, Llc can be contacted via phone (804) 863-2661, or through Harris, Mary Emma via phone (804) 861-5182.

Contact Information

Primary practice address
1834 Buckner St Petersburg VA 23805-1705
Phone: (804) 863-2661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Mary Emma
Phone: (804) 861-5182

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1063609659
LBN Legal business name Annzetta'S Therapeutic Home For Boys, Llc
DBA Doing business as
Authorized official Harris, Mary Emma
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Oct 25th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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