Provider Demographics
NPI:1861035131
Name:SENORA ANGELS TRAINING CENTER,LLC
Entity Type:Organization
Organization Name:SENORA ANGELS TRAINING CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:QEUNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-338-8301
Mailing Address - Street 1:860 GREENBRIER CIR STE 212
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2640
Mailing Address - Country:US
Mailing Address - Phone:757-367-8367
Mailing Address - Fax:757-226-9173
Practice Address - Street 1:860 GREENBRIER CIR STE 212
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2640
Practice Address - Country:US
Practice Address - Phone:757-367-8367
Practice Address - Fax:757-226-9173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-19
Last Update Date:2019-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)