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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KA'DEEM RIDDICK

Active Sole Proprietor

KA'DEEM RIDDICK is a Adult Day Care Facility healthcare provider located in SUFFOLK, Virginia. NPI 1790558021 is currently active in the NPPES registry. Verify at CMS.

Adult Day Care Facility · SUFFOLK, VA

Registration Details

NPI Number
1790558021
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2023 (2.8215239445513 yrs)
Last Updated
Oct 30, 2023
Sole Proprietor
Yes

Practice Information

Address
416 MARKET ST
SUFFOLK, VA, 234345236
Browse VA providers · Browse ZIP 23434
Phone
7578091409
Fax
7578090107
Primary Specialty
Adult Day Care Facility
261QA0600X
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.