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General NPI Number Information
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NPI Number | 1255136123
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Entity Type | Organization
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Legal Business Name | SILVER CARE DEMENTIA CENTER, INC
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3659 SEWELLS POINT RD UNIT B
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City | NORFOLK
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State | VA
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Zip | 23513-3514
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Country | US
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Telephone | 757-355-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 3659 SEWELLS POINT RD UNIT B
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City | NORFOLK
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State | VA
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Zip | 23513-3514
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Country | US
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Telephone | 757-355-7058
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ERICA DANELLE JONES
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Credential | PHD
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Telephone | 757-355-7058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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