Shawana Roach
NPI #1790276186 in Disputanta, Virginia
Provider Information
- NPI Number
- 1790276186
- Entity Type
- Individual
- Name
- Shawana Roach
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 22, 2018
- Last Updated
- May 22, 2018
Practice Location
- Address
- 10424 WALTON LAKE RD
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-4703
- Phone
- (757) 477-0424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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