Provider Demographics
NPI:1578140067
Name:LIVING WITH DISABILITIES
Entity Type:Organization
Organization Name:LIVING WITH DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHIQUITA
Authorized Official - Middle Name:SHONTE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-921-6876
Mailing Address - Street 1:922 13TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-6422
Mailing Address - Country:US
Mailing Address - Phone:757-921-6876
Mailing Address - Fax:
Practice Address - Street 1:922 13TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-6422
Practice Address - Country:US
Practice Address - Phone:757-921-6876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health