Shawana Roach
Shawana Roach is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Disputanta, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2018
Practice location Address checks out
10424 Walton Lake RdDisputanta, VA 23842-4703
Phone: (757) 477-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 2452--01-001 (VA) |
|---|
Record details
| NPI number | 1790276186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2018 |
| Last updated in NPPES | May 22, 2018 |
Other providers in Disputanta
-
Abundant Love, LLC
10424 Walton Lake Rd, Disputanta, VA 23842-4703 · (757) 477-0424
-
Magnolia Woods, LLC
6688 Tatum Rd, Disputanta, VA 23842-6902 · (804) 550-8674