Provider Demographics
NPI:1669932612
Name:MAJETTE AND CROMWELL ENTERPRISES, LLC
Entity type:Organization
Organization Name:MAJETTE AND CROMWELL ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISSY
Authorized Official - Middle Name:LAVONNE
Authorized Official - Last Name:CROMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-724-7800
Mailing Address - Street 1:3900 FILBERT WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-7511
Mailing Address - Country:US
Mailing Address - Phone:757-724-7800
Mailing Address - Fax:
Practice Address - Street 1:1032 MAHONE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23523-1445
Practice Address - Country:US
Practice Address - Phone:757-724-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-24
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities