Healthcare Provider Details

I. General information

NPI: 1477325520
Provider Name (Legal Business Name): FOLLOW YOUR HEART
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 ROBERT E LEE DR
NORTH PRINCE GEORGE VA
23860-7522
US

IV. Provider business mailing address

3808 ROBERT E LEE DR
NORTH PRINCE GEORGE VA
23860-7522
US

V. Phone/Fax

Practice location:
  • Phone: 804-605-3889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: VONDELE PARHAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-605-3889