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Organization
INTEGRATED ENRICHMENT INCORPORATED
Active
Organization
INTEGRATED ENRICHMENT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS O'NELIUS SLAYTON (CEO)
(434) 709-8317
Entity
Organization
Contact information
Practice address
328 WYATTS RD, LONG ISLAND, VA 24569-2642
(434) 709-8317
Mailing address
328 WYATTS RD, LONG ISLAND, VA 24569-2642
(434) 709-8317
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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