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General NPI Number Information
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NPI Number | 1780494906
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Entity Type | Organization
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Legal Business Name | SIMPLE ACCOMMODATIONS LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 3317 SIR MELIOT DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2513
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Country | US
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Telephone | 757-535-5506
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 DAYTONA DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5504
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Country | US
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Telephone | 757-535-5506
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TIARA K GODWIN
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Credential | RN
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Telephone | 757-535-5506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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