Organization
CITY OF VIRGINIA BEACH HUMAN SERVICES
Active
Other names
Kentucky Ave ICF MR
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET G BAILEY (REIMBURSEMENT MANAGER)
(757) 385-0687
Entity
Organization
Contact information
Practice address
145 S KENTUCKY AVE, VIRGINIA BEACH, VA 23452-2382
(757) 437-6275
Mailing address
3432 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-4420
(757) 306-5801
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
261-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004960459
—
VA
Enumeration date
12/13/2006
Last updated
04/18/2022
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