Independent Living & Support Services
Case Management in Norfolk, VA. Organization (NPI-2).
NPI number1033365481
StatusActive
Last updated in NPPESAug 15, 2008
Details
- NPI
- 1033365481
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Living & Support Services
- Organization subpart
- No
- Enumeration date
- Aug 15, 2008
- Last updated
- Aug 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | SS-195-05 | VA | Yes |
Practice location
1522 Florida AveNorfolk, VA 23502-1516
Phone 757-200-2094
Mailing address
3253 Duquesne DrChesapeake, VA 23321-4032
Phone 757-483-9625
Authorized official
William Anderson
President/Ceo
7572002094
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