Compassionate Care Day Support LLC
NPI #1043017353 in Petersburg, Virginia
Provider Information
- NPI Number
- 1043017353
- Entity Type
- Organization
- Organization Name
- Compassionate Care Day Support LLC
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 700 S SYCAMORE ST STE 5
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-5804
- Phone
- (804) 255-6777
Authorized Official
- Name
- DIANE DELORES JOHNSON, BSN RN
- Title
- OWNER
- Phone
- (804) 255-6777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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