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CITY OF VIRGINIA BEACH HUMAN SERVICES

Intermediate Care Mentally Retarded

Virginia Beach, Virginia

Provider NPI: 1407917347

Organization Information:
Organization Name:  CITY OF VIRGINIA BEACH HUMAN SERVICES
Organization is not Subpart
Authorized Official:  DAWN  RYKHEART  BUSINESS MANAGER  757-3853204

Practice Location:
145 S KENTUCKY AVE  VIRGINIA BEACH, VA 23452 US
Tel: 757-437-6275  Fax: --

Business Mailing Address:
3432 VIRGINIA BEACH BLVD  VIRGINIA BEACH, VA 23452 US
Tel: --  Fax: 757-306-5801

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
VA261-01-001

Other Provider Identifiers:

IssuerNumberStateType
004960459VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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