# ENDEPENDENCE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144455064
- **Authorized official:** MAUREEN HOLLOWELL (DIRECTOR OF ADVOCACY AND SERVICES)
- **Authorized official phone:** (757) 351-1584

## Contact information

- **Practice address:** 6300 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2827
- **Practice address phone:** (757) 461-8007
- **Practice address fax:** (757) 461-5375
- **Mailing address:** 6300 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2827
- **Mailing address phone:** (757) 461-8007
- **Mailing address fax:** (757) 461-5375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0087429285 | — | VA |