1366716383 NPI number — APEX DAY SUPPORT SERVICES, LLC.

Table of content: (NPI 1366716383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366716383 NPI number — APEX DAY SUPPORT SERVICES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APEX DAY SUPPORT SERVICES, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366716383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 977
Provider Second Line Business Mailing Address:
6790 GEORGE WASHINGTON HIGHWAY
Provider Business Mailing Address City Name:
KEYSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23947-0977
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-390-1500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
275 C GEORGE WASHINGTON HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE COURT HOUSE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-390-1500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WENDELIN
Authorized Official First Name:
LORENE
Authorized Official Middle Name:
JANE
Authorized Official Title or Position:
OWNER, DIRECTOR OF ADMINISTRATION
Authorized Official Telephone Number:
434-390-1500

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  1815-02-006 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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