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General NPI Number Information
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NPI Number | 1851223358
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Entity Type | Organization
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Legal Business Name | HOLY TRINITY DEVELOPMENTAL SUPPORT SERVICES OF VIRGINIA
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 727 OAK MANOR DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4323
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Country | US
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Telephone | 470-707-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 9203 TARNWOOD CIR
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City | VILLA RICA
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State | GA
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Zip | 30180-8448
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Country | US
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Telephone | 470-707-7022
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DENITA MICHELE WATSON
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Credential | WATSON
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Telephone | 470-707-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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