Organization
PPCS ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORETHA RENEE SELBY-DIGGS MED (CHEIF EXECUTIVE OFFICER)
(757) 839-4243
Entity
Organization
Contact information
Practice address
804 PARAPET RD, CHESAPEAKE, VA 23323-2420
(757) 580-0451
Mailing address
804 PARAPET RD, CHESAPEAKE, VA 23323-2420
(757) 580-0451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2088-03-001
VA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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