Organization
PATRICK HENRY HOSPITAL, INC.
Active
Other names
Riverside Adult Daycare, Newport News
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN (CFO)
(757) 875-7846
Entity
Organization
Contact information
Practice address
1010 OLD DENBIGH BLVD, NEWPORT NEWS, VA 23602-2017
(757) 875-2033
(757) 875-2070
Mailing address
608 DENBIGH BLVD, SUITE 600, NEWPORT NEWS, VA 23608-4410
(757) 875-2023
(757) 875-2016
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
PL006112
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PL006112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008730199
—
VA
Enumeration date
09/20/2006
Last updated
01/26/2021
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