Provider Demographics
NPI:1912344086
Name:HARVEST NEW GENERATION ADULT DAY HEALTH CENTER
Entity Type:Organization
Organization Name:HARVEST NEW GENERATION ADULT DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE- JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-539-7257
Mailing Address - Street 1:2500 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2624
Mailing Address - Country:US
Mailing Address - Phone:757-539-7257
Mailing Address - Fax:757-934-7657
Practice Address - Street 1:2500 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2624
Practice Address - Country:US
Practice Address - Phone:757-539-7257
Practice Address - Fax:757-934-7657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health