Organization
NIYA SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANIA MAE LITAKER (HEALTH ADMINISTRATOR)
(919) 888-0654
Entity
Organization
Contact information
Practice address
1262 PARKWOOD AVE, RICHMOND, VA 23220-5440
(919) 888-0654
Mailing address
11357 NUCKLOS RD PMB 191, GLEN ALLEN, VA 23059
(919) 888-0654
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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