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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