Provider Demographics
NPI:1699186122
Name:DREAM'Z LLC
Entity Type:Organization
Organization Name:DREAM'Z LLC
Other - Org Name:DREAMZ LLC DREAMZ LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WIMBISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-343-1683
Mailing Address - Street 1:2506 BARRE ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2008
Mailing Address - Country:US
Mailing Address - Phone:757-512-6250
Mailing Address - Fax:
Practice Address - Street 1:2506 BARRE ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2008
Practice Address - Country:US
Practice Address - Phone:757-512-6250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1705-01-001311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home