Organization
JAMES BENTLEY TREATMENT PROGRAM
Active
Parent organization
JAMES BENTLEY INTENSIVE IN-HOME
Other names
James Bentley Intensive In-Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES BENTLEY INTENSIVE IN-HOME
Authorized official
SANDRA PINNOCK (DIRECTOR)
(757) 399-4742
Entity
Organization
Contact information
Practice address
1020 LECKIE ST, PORTSMOUTH, VA 23704-1904
(757) 399-4742
(757) 673-7965
Mailing address
1020 LECKIE ST, PORTSMOUTH, VA 23704-1904
(757) 399-4742
(757) 673-7965
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
78205001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78205001
—
VA
Enumeration date
10/06/2009
Last updated
10/06/2009
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