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HOLIDAY HOUSE OF PORTSMOUTH, INC.

Intermediate Care Mentally Retarded

Portsmouth, Virginia

Provider NPI: 1013989276

Organization Information:
Organization Name:  HOLIDAY HOUSE OF PORTSMOUTH, INC.
Organization is not Subpart
Authorized Official:  NORMA BATSON MEGILL  BUSINESS MANAGER  757-3976352

Practice Location:
4211 COUNTY ST  PORTSMOUTH, VA 23707 US
Tel: 757-397-6352  Fax: 757-399-2356

Business Mailing Address:
4211 COUNTY ST  PORTSMOUTH, VA 23707 US
Tel: 757-397-6352  Fax: 757-399-2356

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded









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