Organization
EBENEZERY ADULT DAY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORIAM OMOLARA ADEGBITE (CEO)
(804) 901-1314
Entity
Organization
Contact information
Practice address
6321 JAHNKE RD, RICHMOND, VA 23225-4142
(804) 447-5635
(804) 447-8737
Mailing address
6321 JAHNKE RD, RICHMOND, VA 23225-4142
(804) 447-5635
(804) 447-8737
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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