Organization
REYNA HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO MENDOZA DELA CRUZ MECHANICAL ENGINEER (ADMINISTRATOR / COO)
(757) 650-5312
Entity
Organization
Contact information
Practice address
945 EDWIN DR, VIRGINIA BEACH, VA 23464-3066
(757) 962-4770
(757) 961-5869
Mailing address
5321 HICKORY RDG, VIRGINIA BEACH, VA 23455-6681
(757) 650-5312
(757) 961-5869
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1958
VA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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