KENNETH MOODY SR.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1639572068
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | Yes | 2599 (VA) |
Frequently Asked Questions
NPI 1639572068 is the National Provider Identifier for KENNETH MOODY SR., a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Hampton, VA. This NPI was enumerated on September 30, 2014.
KENNETH MOODY SR. practices at 1043 ABERDEEN RD, Hampton, VA 23666.
Quick Facts
- NPI
- 1639572068
- Type
- Individual
- Enumerated
- Sep 30, 2014
- Last Updated
- Sep 30, 2014
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