Provider Demographics
NPI:1033985098
Name:STRONG DISABILITY ADVOCATES LLC
Entity Type:Organization
Organization Name:STRONG DISABILITY ADVOCATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG-CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-651-4407
Mailing Address - Street 1:21149 BAILEYS LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23803-2117
Mailing Address - Country:US
Mailing Address - Phone:804-651-4407
Mailing Address - Fax:
Practice Address - Street 1:7400 BEAUFONT SPRING DR STE 322
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5556
Practice Address - Country:US
Practice Address - Phone:804-651-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care