Healthcare Provider Details

I. General information

NPI: 1851223358
Provider Name (Legal Business Name): HOLY TRINITY DEVELOPMENTAL SUPPORT SERVICES OF VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 OAK MANOR DR
CHESAPEAKE VA
23323-4323
US

IV. Provider business mailing address

9203 TARNWOOD CIR
VILLA RICA GA
30180-8448
US

V. Phone/Fax

Practice location:
  • Phone: 470-707-7022
  • Fax:
Mailing address:
  • Phone: 470-707-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: DENITA MICHELE WATSON
Title or Position: CEO/PRESIDENT
Credential: WATSON
Phone: 470-707-7022