Healthcare Provider Details

I. General information

NPI: 1982508776
Provider Name (Legal Business Name): 1 PLACE FOR ALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 CAMPOSTELLA RD
CHESAPEAKE VA
23324-2808
US

IV. Provider business mailing address

PO BOX 7022
WOODBRIDGE VA
22195-7022
US

V. Phone/Fax

Practice location:
  • Phone: 757-839-2561
  • Fax: 877-839-8853
Mailing address:
  • Phone: 757-839-2561
  • Fax: 877-839-8853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: GENESE ROGERS
Title or Position: PRESIDENT
Credential:
Phone: 757-839-2561