Organization
EAST COAST HUMAN SERVICES, LLC
Active
Organization
EAST COAST HUMAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEATHER ROSE DIXON B.S. (CHIEF EXECUTIVE OFFICER)
(910) 990-6078
Entity
Organization
Contact information
Practice address
1761 E LITTLE CREEK RD APT 201, NORFOLK, VA 23518-4213
(910) 990-6078
Mailing address
1761 E LITTLE CREEK RD APT 201, NORFOLK, VA 23518-4213
(910) 990-6078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TO BE ESTABLISHED
—
VA
Enumeration date
12/03/2016
Last updated
12/03/2016
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