Provider Demographics
NPI:1669145934
Name:THE VIRTUOUS WOMAN INC
Entity type:Organization
Organization Name:THE VIRTUOUS WOMAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-531-0333
Mailing Address - Street 1:1630 CENTINELA AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-6950
Mailing Address - Country:US
Mailing Address - Phone:310-270-7520
Mailing Address - Fax:888-235-7774
Practice Address - Street 1:8711 HAAS AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3233
Practice Address - Country:US
Practice Address - Phone:323-531-0333
Practice Address - Fax:888-235-7774
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE VIRTUOUS WOMAN INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-31
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities