Provider Demographics
NPI:1811628357
Name:BEST FRIENDS HOME, LLC
Entity Type:Organization
Organization Name:BEST FRIENDS HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:MARIA SHIELA
Authorized Official - Middle Name:ALERA
Authorized Official - Last Name:SEVILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-752-6227
Mailing Address - Street 1:3449 POPPY CRESCENT
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453
Mailing Address - Country:US
Mailing Address - Phone:757-716-3776
Mailing Address - Fax:757-689-0666
Practice Address - Street 1:3449 POPPY CRESCENT
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453
Practice Address - Country:US
Practice Address - Phone:757-716-3776
Practice Address - Fax:757-689-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services