Provider Demographics
NPI:1245581792
Name:HOSANNA THERAPEUTIC DAY CENTER
Entity Type:Organization
Organization Name:HOSANNA THERAPEUTIC DAY CENTER
Other - Org Name:HOSANNA THERAPEUTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-788-1140
Mailing Address - Street 1:700 CRABAPPLE ST
Mailing Address - Street 2:APT. A
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-4133
Mailing Address - Country:US
Mailing Address - Phone:757-788-1140
Mailing Address - Fax:
Practice Address - Street 1:700 CRABAPPLE ST
Practice Address - Street 2:APT. A
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-4133
Practice Address - Country:US
Practice Address - Phone:757-788-1140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health