OrganizationActive
Circle of Life, LLC
NPI 1316433709 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Virginia Beach, VA
Provider details
- NPI number
- 1316433709
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dalesha Smith, Director(757) 553-6158
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
138 S Rosemont Rd Ste 200
Virginia Beach, VA 23452-4336
Phone: (757) 403-9458
Approximate (ZIP-level) locationGet directions
Mailing address
3630 S Plaza Trl Ste 210d
Virginia Beach, VA 23452-3366
Other names (DBA / former)
- Other name
- C.o.l Residential
- Other name
- C.o.l Residential
Registry dates
- Enumerated
- 2018-07-09
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.