Healthcare Provider Details

I. General information

NPI: 1275469637
Provider Name (Legal Business Name): DAY2DAY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 WATERS LNDG
STAFFORD VA
22554-7834
US

IV. Provider business mailing address

1320 CENTRAL PARK BLVD STE 200
FREDERICKSBURG VA
22401-4953
US

V. Phone/Fax

Practice location:
  • Phone: 646-764-5334
  • Fax:
Mailing address:
  • Phone: 646-764-5334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: HAFIZ A BALOGUN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 646-764-5334