Organization
DEMITRA HELPING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMITRA NICOLE MICKEY RN (CEO)
(757) 292-3687
Entity
Organization
Contact information
Practice address
4430 PELICAN PT, PORTSMOUTH, VA 23703-5369
(757) 292-3687
Mailing address
4430 PELICAN PT, PORTSMOUTH, VA 23703-5369
(757) 292-3687
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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