| Destinys Supportive In-home Services | |
|
6060 Jefferson Ave Suite 9003 Newport News VA 23605-3014 | |
| (757) 706-3382 | |
| (757) 706-3383 |
| Full Name | Destinys Supportive In-home Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6060 Jefferson Ave, Newport News, Virginia |
| Authorized Official Name and Position | Patrice Matthews (DIRECTOR) |
| Authorized Official Contact | 7577063382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destinys Supportive In-home Services 6060 Jefferson Ave Suite 9003 Newport News VA 23605-3014 Ph: () - | Destinys Supportive In-home Services 6060 Jefferson Ave Suite 9003 Newport News VA 23605-3014 Ph: (757) 706-3382 |
| NPI Number | 1831530765 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831530765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 990 (Virginia) | Primary |
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