Organization
OUR LOVED ONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JONES-SHENJOBI RN, BSN (OWNER/DIRECTOR)
(804) 663-5193
Entity
Organization
Contact information
Practice address
4821 PRINCE GEORGE DR, ABC, PRINCE GEORGE, VA 23875-2762
(804) 878-6636
Mailing address
4821 PRINCE GEORGE DR., ABC, PRINCE GEORGE, VA 23875-2762
(804) 668-5193
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
06/21/2023
Last updated
06/27/2024
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