NPI 1093581217

Providential Care Services, LLC

Organisation Developmentally Disabled Services Day Training Agency Portsmouth, VA

Practice location

Address: 3214 Academy Ave, Portsmouth, VA 23703-3203
Phone: (757) 333-2145
Fax: (757) 802-3565
Mailing address: 315 Taft Dr, Portsmouth, VA 23701-4244

Authorised official

Name: Cynthia Spencer
Title: Ceo
Phone: (757) 333-2145

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Virginia →

Registry record

NPI: 1093581217
Entity type: Organization
NPI issued: 29 Nov 2023
Record last updated: 29 Nov 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.