NPI 1356090229
Project Elevation Enterprise
Practice location
- Address
- 2113 Concord Dr APT C, Chesapeake, VA 23324-4616
- Phone
- (757) 632-7022
Authorised official
- Name
- Tyrell Smith
- Title
- Chief of Staff
- Phone
- (757) 632-7022
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1356090229
- Entity type
- Organization
- NPI issued
- 19 Mar 2022
- Record last updated
- 19 Mar 2022
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.