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Organization
GLORY DAYS SUPPORT SERVICE, LLC
Active
Organization
GLORY DAYS SUPPORT SERVICE, LLC
Active
Other names
Glory Days Transportation, LLC, Glory Days, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA KAYCEO HENRY PETTY (CEO/OWNER)
(434) 688-4711
Entity
Organization
Contact information
Practice address
625 PINEY FOREST RD, SUITE 302C,, SAME, DANVILLE, VA 24540
(434) 421-2196
(434) 688-4713
Mailing address
625 PINEY FOREST RD, SUITE 302C,, SAME, DANVILLE, VA 24540
(434) 421-2196
(434) 688-4713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T60227306
—
VA
Enumeration date
12/02/2019
Last updated
12/02/2019
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