PROVINCE PLACE OF MARYVIEW
Assisted Living Facility
Portsmouth, Virginia
Provider NPI: 1154305027
Organization Information:Organization Name: PROVINCE PLACE OF MARYVIEW
Practice Location:
1 BON SECOURS WAY PORTSMOUTH, VA 23703 US
Tel: 757-686-9100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1 BON SECOURS WAY PORTSMOUTH, VA 23703 US
Tel: 757-686-9100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | VA | ELO2005-574 |