Organization
IMMACULATE CARE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINNIE SVAGE MA. ED (CEO)
(757) 335-2404
Entity
Organization
Contact information
Practice address
5935 KNIGHTSBRIDGE WAY, PORTSMOUTH, VA 23703-5506
(757) 335-2404
Mailing address
5935 KNIGHTSBRIDGE WAY, PORTSMOUTH, VA 23703-5506
(757) 335-2404
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
08/04/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us