Organization
DOMINION DAY INTENSIVE IN-HOME SERVICES, LLC
Active
Other names
Dominion Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RASHEEDE TENAYE HICKS (PRESIDENT)
(804) 519-4485
Entity
Organization
Contact information
Practice address
2530 MERIDIAN PKWY, SUITE 3077, DURHAM, NC 27713-5272
(804) 519-4485
Mailing address
2530 MERIDIAN PKWY, SUITE 3077, DURHAM, NC 27713-5272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0800X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004944500
—
VA
Enumeration date
06/17/2009
Last updated
06/17/2009
Update your record
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