Organization
ENDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OTIS MSW (OWNER)
(757) 713-1296
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 713-1296
Mailing address
2822 PICKETT RD APT 154, DURHAM, NC 27705-9307
(757) 713-1296
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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