# HALO COMMUNITY SERVICES LLC

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

## Provider details

- **NPI number:** 1184289951
- **Authorized official:** DIANA C RICKS (CEO)
- **Authorized official phone:** (757) 228-2341

## Contact information

- **Practice address:** 1157 S MILITARY HWY, CHESAPEAKE, VA 23320-2352
- **Practice address phone:** (757) 228-2341
- **Mailing address:** 1245 CEDAR RD STE G, CHESAPEAKE, VA 23322-7141
- **Mailing address phone:** (757) 228-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2019
- **Last updated:** 05/10/2019