NPI 1093416497

Heavenly Manor LLC

Organisation Community Health Worker Hampton, VA

Practice location

Address: 132 Burns St, Hampton, VA 23669-4610
Phone: (757) 771-1477

Authorised official

Name: Shamecka Lawanda Dinkins
Title: Owner
Phone: (757) 771-1477

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1093416497
Entity type: Organization
NPI issued: 13 Mar 2023
Record last updated: 13 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.