Keda,llc

NPI #1255825287 in Mathews, Virginia

Provider Information

NPI Number: 1255825287
Entity Type: Organization
Organization Name: Keda,llc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 22, 2018
Last Updated: Jun 22, 2018

Practice Location

Address: 143 MAPLE RD
City: Mathews
State: Virginia
ZIP Code: 23109-2139
Phone: (804) 725-8624

Authorized Official

Name: STACY HARDCASTLE
Title: OWNER
Phone: (804) 725-8624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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