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Organization
LTACH AT RIVERSIDE, LLC
Active
Organization
LTACH AT RIVERSIDE, LLC
Active
Other names
Hampton Roads Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN JR. (VP)
(717) 972-1100
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, 4TH FLOOR EAST AND 4TH FLOOR ANNEX, NEWPORT NEWS, VA 23601-1929
(757) 928-8261
(757) 928-8271
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
H1925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010246148
—
VA
Enumeration date
05/02/2006
Last updated
09/10/2025
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