Provider Demographics
NPI:1588952600
Name:DAILY PEPRAH & PARTNER SERVICES LLC
Entity type:Organization
Organization Name:DAILY PEPRAH & PARTNER SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:PEPRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:757-581-6452
Mailing Address - Street 1:308 BARNSTABLE QUAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-8002
Mailing Address - Country:US
Mailing Address - Phone:757-581-6452
Mailing Address - Fax:
Practice Address - Street 1:308 BARNSTABLE QUAY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-8002
Practice Address - Country:US
Practice Address - Phone:757-581-6452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health