Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARCELL LANIER WHITAKER
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · HOPEWELL, VA
Registration Details
- NPI Number
- 1790374585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2021 (5.2650710871704 yrs)
- Last Updated
- Jan 15, 2021
- License
-
3593-01-001 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1610 GLENDALE STHOPEWELL, VA, 238606922Browse VA providers · Browse ZIP 23860
- Phone
- 8043126883
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.