NPI 1235527953

Angelsofmercy Family Supoort Services,llc

Organisation Case Management Agency Chesapeake, VA

Practice location

Address: 1001 Elysian Pl APT 323, Chesapeake, VA 23320-2995
Phone: (757) 319-9909
Mailing address: 1001 Elysian Place #323, Chesapeake, VA 23320-2995

Authorised official

Name: Judith Moore
Title: Agency Adminstrator
Phone: (757) 319-9909

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 04613 (VA)

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Registry record

NPI: 1235527953
Entity type: Organization
NPI issued: 5 Jan 2015
Record last updated: 5 Jan 2015

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.