Dailey Divine Care, Llc

NPI 1184037764 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1184037764
Enumeration Date 06/11/2014
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name QUANISHA CHRISTINE QUANISHA
Position CEO
Phone (757) 770-1101
Fax
Practice Location
7929 MERRITT ST
NORFOLK VA, 23518-3744, US
Phone (757) 770-1101
Fax
Business Location
7929 MERRITT ST
NORFOLK VA, 23518-3744, US
Phone (757) 770-1101
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Dailey Divine Care, Llc NPI is 1184037764, taxonomy code is 320900000X Dailey Divine Care, Llc physically located at 7929 Merritt St, Norfolk VA, 23518-3744. NPI Number 1033115704 has the healthcare provider type.

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1184037764 NPI number is provided on an as is basis without warranty of any kind. 1184037764 is maintained by the National Plan & Provider Enumeration System. The contents of Dailey Divine Care, Llc are for informational purposes only.