Organization
THE PENINSULA COMMUNITY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA DELPHINE DYKE (CEO)
(757) 951-7432
Entity
Organization
Contact information
Practice address
913 CHARLOTTE DR, NEWPORT NEWS, VA 23601-1070
(757) 951-7432
(757) 401-6492
Mailing address
10 CASTLE HAVEN RD, HAMPTON, VA 23666-6032
(757) 951-7432
(757) 401-6492
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2327
VA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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