Organization
DAILEY DIVINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUANISHA CHRISTINE DAILEY (CEO)
(757) 770-1101
Entity
Organization
Contact information
Practice address
7929 MERRITT ST, NORFOLK, VA 23518-3744
(757) 770-1101
Mailing address
7929 MERRITT ST, NORFOLK, VA 23518-3744
(757) 770-1101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
02/10/2015
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