Healthcare Provider Details

I. General information

NPI: 1255536421
Provider Name (Legal Business Name): THE ENRICHMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 PARAPET RD
CHESAPEAKE VA
23323-2420
US

IV. Provider business mailing address

816 PARAPET RD
CHESAPEAKE VA
23323-2420
US

V. Phone/Fax

Practice location:
  • Phone: 757-558-2750
  • Fax:
Mailing address:
  • Phone: 757-558-2750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JOAN JONES
Title or Position: DIRECTOR
Credential:
Phone: 757-558-2750