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NPI Code Detail

MEDICARE: ONE STEP AT A TIME DAY SUPPORT LLC

MEDICARE: ONE STEP AT A TIME DAY SUPPORT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1720867757
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE STEP AT A TIME DAY SUPPORT LLC
Provider Business Mailing Address
First Line : 3607 WHITECHAPEL ARCH
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-4024
Country : US
Telephone Number : 757-672-8704
Fax Number :
Provider Business Practice Location Address
First Line : 3134 TYRE NECK RD STE B
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23703-4512
Country : US
Telephone Number : 757-672-8704
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JUDITH HINTON
Credential :
Telephone Number : 757-672-8704
Provider Enumeration Date : 09/28/2023
Last Update Date : 09/28/2023

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Directions to “ONE STEP AT A TIME DAY SUPPORT LLC ” Practice Location

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