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Darcell Lanier Whitaker
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hopewell, Virginia
NPI 1790374585

Darcell Lanier Whitaker is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hopewell, VA. Darcell Lanier Whitaker practices in Hopewell, VA. The NPI Number for Darcell Lanier Whitaker is 1790374585 and holds a License No. 3593-01-001 (Virginia).

The current practice location address for Darcell Lanier Whitaker is 1610 Glendale St, Hopewell, VA and can be reached out via phone at 804-312-6883.

Location: 1610 Glendale St, Hopewell, VA, 23860-6922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790374585
Provider Name
Darcell Lanier Whitaker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1610 Glendale St, Hopewell, VA, 23860-6922
Phone Number
804-312-6883
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1610 Glendale St
City
Hopewell
State
Virginia
Zip
23860-6922
Phone Number
804-312-6883
Fax Number
person
Provider Business Mailing Address Details
Address
1610 Glendale St
City
Hopewell
State
Virginia
Zip
23860-6922
Phone Number
804-312-6883
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
3593-01-001 (Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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