HOLIDAY HOUSE OF PORTSMOUTH, INC.
Intermediate Care Facility, Mentally Retarded
Portsmouth, Virginia
Provider NPI: 1013989276
Organization Information:Organization Name: HOLIDAY HOUSE OF PORTSMOUTH, INC.
Practice Location:
4211 COUNTY ST PORTSMOUTH, VA 23707 US
Tel: 757-397-6352 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
4211 COUNTY ST PORTSMOUTH, VA 23707 US
Tel: 757-397-6352 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 |