Healthcare Provider Details
I. General information
NPI: 1023416682
Provider Name (Legal Business Name): DAILY LIVING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2014
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900E HOPEMAN PARKWAY
WAYNESBORO VA
22980-1800
US
IV. Provider business mailing address
900E HOPEMAN PARKWAY
WAYNESBORO VA
22980-1800
US
V. Phone/Fax
- Phone: 540-949-4151
- Fax: 540-943-7732
- Phone: 540-949-4151
- Fax: 540-943-7732
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
VERNE
ELLEN
MARTORI
Title or Position: OFFICE MANAGER
Credential: OC
Phone: 540-949-4151