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Organization

PEACEDRAPHA HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIDI EKWUEME (PROGRAM MANAGER)
(757) 560-6073
Entity
Organization

Contact information

Practice address
2004 BUCKLAND ST, CHESAPEAKE, VA 23324-3203
(757) 222-9690
Mailing address
2004 BUCKLAND ST, CHESAPEAKE, VA 23324-3203
(757) 222-9690

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2351
VA
314000000X
Skilled Nursing Facility
2351
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2351
VA
347C00000X
Private Vehicle
VA

Other

Enumeration date
08/23/2016
Last updated
10/30/2017
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