Provider Demographics
NPI:1801669858
Name:DEMIANA SERVICES LLC
Entity type:Organization
Organization Name:DEMIANA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SENAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HADGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-288-6025
Mailing Address - Street 1:12768 SIDNEY WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-7615
Mailing Address - Country:US
Mailing Address - Phone:571-288-6025
Mailing Address - Fax:703-334-8746
Practice Address - Street 1:12768 SIDNEY WAY
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-7615
Practice Address - Country:US
Practice Address - Phone:571-288-6025
Practice Address - Fax:703-334-8746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services