Organization
THE DEHEAVENLY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKIYAH PANNELL LPN (CEO)
(434) 251-3466
Entity
Organization
Contact information
Practice address
1006 8TH ST, ALTAVISTA, VA 24517-1506
(434) 251-3466
Mailing address
15 DOGWOOD LN, ALTAVISTA, VA 24517-1013
(434) 251-3466
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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