Organization
PARC WORKSHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY GALE AYERS (EXECUTIVE DIRECTOR)
(276) 694-4211
Entity
Organization
Contact information
Practice address
674 JOHNSON ST, STUART, VA 24171-4001
(276) 694-4211
(276) 694-2916
Mailing address
674 JOHNSON ST, STUART, VA 24171-4001
(276) 694-4211
(276) 694-2916
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
60602006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606-02-006
SERVICE LICENSE #
VA
Enumeration date
07/04/2006
Last updated
08/22/2020
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