Organization
HOTEP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIO L WATERS (ADMINISTRATOR)
(757) 652-3058
Entity
Organization
Contact information
Practice address
5905 DUNKIRK ST, PORTSMOUTH, VA 23703-3129
(757) 652-3058
Mailing address
5905 DUNKIRK ST, PORTSMOUTH, VA 23703-3129
(757) 652-3058
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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