White Daisy Homes, LLC
NPI #1144983909 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1144983909
- Entity Type
- Organization
- Organization Name
- White Daisy Homes, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 19, 2021
- Last Updated
- Oct 19, 2021
Practice Location
- Address
- 23 STANLEY LOOP
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22406-8420
- Phone
- (703) 209-7073
Authorized Official
- Name
- ELIZABETH AMA CLARKE, RN, BSN
- Title
- ADMINISTRATOR
- Phone
- (703) 209-7073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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| Cherri Lynette Dulaney, L.P.N. |
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