Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Respite Care, Mental Illness, Child |
385HR2055X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI Number | 1073314415 |
| LBN Legal business name | VIRGINIAS PLAYHOUSE |
| Authorized official | KENYETTA WILLIAMS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/21/2025 |
| Last updated | 03/21/2025 - More than a year ago |
| Identifiers | n/a |
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