Organization
ENDEPENDENCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN HOLLOWELL (DIRECTOR OF ADVOCACY AND SERVICES)
(757) 351-1584
Entity
Organization
Contact information
Practice address
6300 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2827
(757) 461-8007
(757) 461-5375
Mailing address
6300 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2827
(757) 461-8007
(757) 461-5375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087429285
—
VA
Enumeration date
05/20/2009
Last updated
05/17/2024
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