Organization
ST MARYS HOME FOR DISABLED CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PEARL (CFO)
(757) 446-6783
Entity
Organization
Contact information
Practice address
149 S KENTUCKY AVE, VIRGINIA BEACH, VA 23452-2382
(757) 622-2208
Mailing address
6171 KEMPSVILLE CIR, NORFOLK, VA 23502-3930
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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