Organization
VIRGINIA STATE PROPERTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED WIKE (OWNER)
(757) 639-8443
Entity
Organization
Contact information
Practice address
509 PINEWOOD DR, VIRGINIA BEACH, VA 23451-4424
(757) 639-8443
Mailing address
509 PINEWOOD DR, VIRGINIA BEACH, VA 23451-4424
(757) 639-8443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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