Healthcare Provider Details

I. General information

NPI: 1851703839
Provider Name (Legal Business Name): DIRECT CARE TRAINING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 LYNNHAVEN PKWY SUITE 206
VIRGINIA BEACH VA
23452-7336
US

IV. Provider business mailing address

609 LYNNHAVEN PKWY SUITE 206
VIRGINIA BEACH VA
23452-7336
US

V. Phone/Fax

Practice location:
  • Phone: 757-277-6586
  • Fax: 757-271-9074
Mailing address:
  • Phone: 757-277-6586
  • Fax: 757-271-9074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE E LAMBERT
Title or Position: ADMINISTRATOR/OWNER
Credential: LPN
Phone: 757-277-6586