Provider Demographics
NPI:1942953120
Name:OPEN ARMS DAY CENTER
Entity type:Organization
Organization Name:OPEN ARMS DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BOOKER -HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-904-7976
Mailing Address - Street 1:10211 BOOKERS LN
Mailing Address - Street 2:
Mailing Address - City:AMELIA COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23002-3121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9220 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:AMELIA COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23002-4969
Practice Address - Country:US
Practice Address - Phone:804-904-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty