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Shadreka L Coles
Adult Day Care Clinic/Center in Blairs, Virginia
NPI 1790404507

Shadreka L Coles is an Adult Day Care Clinic/Center based in Blairs, VA and is specialized in Adult Day Care. Shadreka L Coles practices in Blairs, VA. The NPI Number for Shadreka L Coles is 1790404507 and holds a License No. 11418530 (Virginia).

The current practice location address for Shadreka L Coles is 2609 Hunters Ln, Blairs, VA and can be reached out via phone at 434-429-8078.

Location: 2609 Hunters Ln, Blairs, VA, 24527-3019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790404507
Provider Name
Shadreka L Coles
Credential
Provider Entity Type
Individual
Gender
Female
Address
2609 Hunters Ln, Blairs, VA, 24527-3019
Phone Number
434-429-8078
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2609 Hunters Ln
City
Blairs
State
Virginia
Zip
24527-3019
Phone Number
434-429-8078
Fax Number
person
Provider Business Mailing Address Details
Address
2609 Hunters Ln
City
Blairs
State
Virginia
Zip
24527-3019
Phone Number
434-429-8078
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
11418530 (Virginia)
Definition
Definition to come...
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