Healthcare Provider Details

I. General information

NPI: 1932864345
Provider Name (Legal Business Name): HEAVENLY HANDS ADULT DAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 E MERCURY BLVD
HAMPTON VA
23663-2228
US

IV. Provider business mailing address

529 E MERCURY BLVD
HAMPTON VA
23663-2228
US

V. Phone/Fax

Practice location:
  • Phone: 757-725-0919
  • Fax:
Mailing address:
  • Phone: 757-725-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA SNOW
Title or Position: OWNER
Credential:
Phone: 757-725-0919