Organization
FORT NORFOLK RETIREMENT COMMUNITY
Active
Other names
Harbor's Edge Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HISHAM FAHIM (VICE PRESIDENT OF FINANCE/CONTROLLE)
(757) 616-7952
Entity
Organization
Contact information
Practice address
1 COLLEY AVENUE, NORFOLK, VA 23510-1038
(757) 616-7921
(757) 616-7955
Mailing address
1 COLLEY AVENUE, NORFOLK, VA 23510-1038
(757) 616-7921
(757) 616-7955
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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