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1487057956
DREAM 9D GROUP HOME LLC
PETERSBURG, VA
NPI
1487057956
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Entity Type
Organization
Authorized Contact
DESTANEY LASHAY STARKE
CEO
804-919-1180
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
DREAM 9D GROUP HOME LLC
817 S JONES ST
PETERSBURG, VA 23803-4952
Phone number: 804-919-1180
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Mailing Address
DREAM 9D GROUP HOME LLC
817 S JONES ST
PETERSBURG, VA 23803-4952
Phone number:
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