CITY OF VIRGINIA BEACH HUMAN SERVICES
Intermediate Care Facility, Mentally Retarded
Virginia Beach, Virginia
Provider NPI: 1407917347
Organization Information:Organization Name: CITY OF VIRGINIA BEACH HUMAN SERVICES
Practice Location:
145 S KENTUCKY AVE VIRGINIA BEACH, VA 23452 US
Tel: 757-437-6275 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
145 S KENTUCKY AVE VIRGINIA BEACH, VA 23452 US
Tel: 757-437-6275 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | VA | 261-01-001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
004960459 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin