Kenneth Moody SR.

NPI #1639572068 in Hampton, Virginia

Provider Information

NPI Number
1639572068
Entity Type
Individual
Name
Kenneth Moody SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 30, 2014
Last Updated
Sep 30, 2014

Practice Location

Address
1043 ABERDEEN RD
ZIP Code
23666-4803
Phone
(757) 597-1453

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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