institution
Phoenix Aspiration System Of Care Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia
NPI 1306096649

Phoenix Aspiration System Of Care Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portsmouth, VA. Phoenix Aspiration System Of Care Llc practices in Portsmouth, VA. The NPI Number for Phoenix Aspiration System Of Care Llc is 1306096649 and holds a License No. 731-01-001 (Virginia).

The current practice location address for Phoenix Aspiration System Of Care Llc is 2710 Elm Ave, Portsmouth, VA and can be reached out via phone at 757-393-5850 and via fax at 757-393-5853. You can also correspond with Phoenix Aspiration System Of Care Llc through the mailing address at 2710 ELM AVE, PORTSMOUTH, VA - 23704-7013 (mailing address contact number: 757-393-5850).

Location: 2710 Elm Ave, Portsmouth, VA, 23704-7013
institution
Provider Profile Details
NPI Number
1306096649
Provider Name
Phoenix Aspiration System Of Care Llc
Credential
Provider Entity Type
Organization
Address
2710 Elm Ave, Portsmouth, VA, 23704-7013
Phone Number
757-393-5850
Fax Number
757-393-5853
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101495098 05 VA
institution
Provider Business Practice Location Address Details
Address
2710 Elm Ave
City
State
Zip
23704-7013
Phone Number
757-393-5850
Fax Number
757-393-5853
person
Provider Business Mailing Address Details
Address
2710 Elm Ave
City
State
Zip
23704-7013
Phone Number
757-393-5850
Fax Number
757-393-5853
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
731-01-001 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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