Individual
REGINALD MAURICE RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1932 KEMPSVILLE RD STE 107, VIRGINIA BEACH, VA 23464-6953
(757) 277-6070
Mailing address
417 CLARA DR, CHESAPEAKE, VA 23320-7031
(757) 277-6070
(757) 277-6070
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/17/2024
Last updated
03/29/2024
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