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2nd Chance Advancement LLC

Day Training, Developmentally Disabled Services in Petersburg, VA. Organization (NPI-2).

NPI number1699550632
StatusActive
Last updated in NPPESAug 28, 2023

Details

NPI
1699550632
Entity type
Organization (NPI-2)
Legal business name
2nd Chance Advancement LLC
Organization subpart
No
Enumeration date
Aug 28, 2023
Certification date
Aug 28, 2023
Last updated
Aug 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––
320700000X Residential Treatment Facility, Physical Disabilities––
343900000X Non-emergency Medical Transport (VAN)––

Practice location

509 Lock Ln
Petersburg, VA 23805-2542

Phone 804-503-9828

Mailing address

509 Lock Ln
Petersburg, VA 23805-2542

Phone 804-503-9828

Authorized official

Antonio Lajuan Bradley
Owner
8045039828

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