Organization
DAY SUPPORT SERVICES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEANGELO LOFTIN SR. (CEO)
(757) 215-8255
Entity
Organization
Contact information
Practice address
4406 INDIAN RIVER RD, CHESAPEAKE, VA 23325-3131
(757) 215-8255
Mailing address
3959 RICA DR, VIRGINIA BCH, VA 23453-1937
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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