Organization
WHITE DAISY HOMES, LLC
Active
Other names
WHITE DAISY HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AMA CLARKE RN, BSN (ADMINISTRATOR)
(703) 209-7073
Entity
Organization
Contact information
Practice address
23 STANLEY LOOP, FREDERICKSBURG, VA 22406-8420
(703) 209-7073
Mailing address
23 STANLEY LOOP, FREDERICKSBURG, VA 22406-8420
(703) 209-7073
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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