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Search › Virginia › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Shawana Roach

NPI 1790276186 · on the registry since 2018 · sole proprietor

Practice

Address
10424 Walton Lake Rd
Disputanta, VA 23842
Phone
(757) 477-0424
Organisation at this address
Abundant Love, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia