Provider Demographics
NPI:1710388475
Name:C&E ADULT SERVICES INC.
Entity Type:Organization
Organization Name:C&E ADULT SERVICES INC.
Other - Org Name:ESTELLE'S PERSONAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-381-0655
Mailing Address - Street 1:4505 WINNIE DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-1592
Mailing Address - Country:US
Mailing Address - Phone:832-381-0655
Mailing Address - Fax:757-299-1921
Practice Address - Street 1:740 BOUSH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1502
Practice Address - Country:US
Practice Address - Phone:832-381-0655
Practice Address - Fax:757-299-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2606251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health