Preavic Signature LLC

NPI #1184399115 in North Chesterfield, Virginia

Provider Information

NPI Number: 1184399115
Entity Type: Organization
Organization Name: Preavic Signature LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 11, 2021
Last Updated: Aug 11, 2021

Practice Location

Address: 4317 LAUREL OAK RD
City: North Chesterfield
State: Virginia
ZIP Code: 23237-4312
Phone: (804) 503-8979

Authorized Official

Name: MARGARET A DARAMOLA, REGISTERED NURSE
Title: CEO
Phone: (804) 503-8979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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