Organization
HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD
Active
Parent organization
HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD
Other names
Aberdeen ICF
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD
Authorized official
YAISA ONIKA GOODWIN (CREDENTIALING/PROCUREMENT COORDINAT)
(757) 788-0065
Entity
Organization
Contact information
Practice address
1421 ABERDEEN RD, HAMPTON, VA 23666-4027
(757) 251-2244
(757) 224-4950
Mailing address
300 MEDICAL DR, HAMPTON, VA 23666-1765
(757) 788-0300
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
06/13/2019
Last updated
06/13/2019
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