Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAQUITA MCCRAE
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · SOUTH PRINCE GEORGE, VA
Registration Details
- NPI Number
- 1457050551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2023 (3.1470723237678 yrs)
- Last Updated
- Feb 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
418 OLD KESWICK LNSOUTH PRINCE GEORGE, VA, 238057867Browse VA providers · Browse ZIP 23805
- Phone
- 4348858915
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.