Individual
JANEL ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W 22ND ST, NORFOLK, VA 23517-2208
(980) 248-3182
Mailing address
204 W 22ND ST, NORFOLK, VA 23517-2208
(980) 248-3182
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
10425
VA
251S00000X
Community/Behavioral Health Agency
Primary
10425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851438278
—
VA
Enumeration date
07/01/2024
Last updated
08/05/2024
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