Calvin Jayne Quality Living, LLC
NPI #1275072993 in Disputanta, Virginia
Provider Information
- NPI Number
- 1275072993
- Entity Type
- Organization
- Organization Name
- Calvin Jayne Quality Living, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 14, 2017
- Last Updated
- Feb 14, 2017
Practice Location
- Address
- 6688 TATUM RD
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-6902
- Phone
- (804) 550-8674
Authorized Official
- Name
- MRS. JENNIFER JAYNE WHITE
- Title
- MANAGING MEMBER
- Phone
- (804) 550-8674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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