Organization
DESIRE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ANITA WILSON (OWNER)
(757) 995-9938
Entity
Organization
Contact information
Practice address
1180 CLYDESDALE LANE, VIRGINIA BEACH, VA 23464
(757) 995-9938
Mailing address
1180 CLYDESDALE LANE, VIRGINIA BEACH, VA 23464
(757) 995-9938
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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