Individual provider · Type 1 NPI
Shadreka L. Coles
Adult Day Care Clinic/Center · Blairs, VA
NPI number
1790404507
Active
Practice location
2609 Hunters Ln
Blairs, VA 24527-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 11418530 (VA) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1790404507
Shadreka L. Coles's National Provider Identifier is 1790404507, issued on Aug 24, 2022. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Blairs, VA. The record was last updated on Aug 24, 2022.