Nova Support Services LLC

NPI #1700472305 in Petersburg, Virginia

Provider Information

NPI Number: 1700472305
Entity Type: Organization
Organization Name: Nova Support Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 2701 PARK AVE APT 8
City: Petersburg
State: Virginia
ZIP Code: 23805-2463
Phone: (732) 207-2645

Authorized Official

Name: ASIA RANKINS
Title: CEO
Phone: (732) 207-2645

Specialties & Taxonomy Codes

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

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