Organization
AC SUPPORT SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIZAL L CRUZ (OWNER)
(757) 408-9760
Entity
Organization
Contact information
Practice address
4412 GLEN LAKE PATH, VIRGINIA BEACH, VA 23462-4714
(757) 408-9760
(757) 353-4424
Mailing address
3420 PLUM CRES, VIRGINIA BEACH, VA 23453-2815
(757) 408-9760
(757) 353-4424
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1483-01-001
VA
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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