Organization
HALO COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA C RICKS (CEO)
(757) 228-2341
Entity
Organization
Contact information
Practice address
1157 S MILITARY HWY, CHESAPEAKE, VA 23320-2352
(757) 228-2341
Mailing address
1245 CEDAR RD STE G, CHESAPEAKE, VA 23322-7141
(757) 228-2341
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/10/2019
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