Organization
LOVING YEARS ADULT DAYCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA DIANA GARRIS RN (EXECUTIVE DIRECTOR)
(804) 722-0005
Entity
Organization
Contact information
Practice address
2793 S CRATER RD STE H, PETERSBURG, VA 23805-2472
(804) 722-0005
(804) 722-0996
Mailing address
2793 S CRATER RD STE H, PETERSBURG, VA 23805-2472
(804) 722-0005
(804) 722-0996
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QA0600X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163825919
—
VA
Enumeration date
01/15/2015
Last updated
01/15/2015
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