Organization
COMPASSIONATE AND CARING 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTANEY LASHAY STARKE (CEO)
(804) 919-1180
Entity
Organization
Contact information
Practice address
817 S JONES ST, PETERSBURG, VA 23803-4952
(804) 919-1180
Mailing address
406 BRIDGE CREEK CT, MIDLOTHIAN, VA 23113-3411
(804) 919-1180
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4009-01-001
—
VA
Enumeration date
09/08/2022
Last updated
09/08/2022
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