Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareTHERESA'-VENIA, LLC
Intermediate Care Facility, Mental Illness
Portsmouth, Virginia
Provider NPI: 1891863973
Organization Information:Organization Name: THERESA'-VENIA, LLC
Practice Location:
1536 CENTRE AVE PORTSMOUTH, VA 23704 US
Tel: 757-967-9545 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:
1536 CENTRE AVE PORTSMOUTH, VA 23704 US
Tel: 757-967-9545 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | ||
| X | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TRACKING NO | 0000005002 | VA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin