Compassion House INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Norfolk, VA. Organization (NPI-2).
Details
- NPI
- 1801123716
- Entity type
- Organization (NPI-2)
- Legal business name
- Compassion House INC.
- Organization subpart
- No
- Enumeration date
- Nov 13, 2009
- Last updated
- Nov 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | VA | Yes |
| 347C00000X | Private Vehicle | – | VA |
Practice location
3649 Riverside DrNorfolk, VA 23502-4351
Phone 757-923-1937 · Fax 757-923-1938
Mailing address
3649 Riverside DrNorfolk, VA 23502-4351
Phone 757-923-1937 · Fax 757-923-1938
Authorized official
Danora Brockman
Program Administrator
7579231937
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