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Indian River Residential Care Community
Adult Care Home Facility in Chesapeake, Virginia
NPI 1578639654

Indian River Residential Care Community is an Adult Care Home Facility based in Kernersville, VA and is specialized in Adult Care Home. Indian River Residential Care Community practices in Chesapeake, VA. The NPI Number for Indian River Residential Care Community is 1578639654 and holds a License No. (Virginia).

The current practice location address for Indian River Residential Care Community is 1012 Justis St, Chesapeake, VA and can be reached out via phone at 757-523-4659. You can also correspond with Indian River Residential Care Community through the mailing address at PO BOX 1487, KERNERSVILLE, NC - 27285-1487 (mailing address contact number: 336-595-1075).

Location: 1012 Justis St, Chesapeake, VA, 27285-1487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578639654
Provider Name
Indian River Residential Care Community
Credential
Provider Entity Type
Organization
Address
1012 Justis St, Chesapeake, VA, 27285-1487
Phone Number
757-523-4659
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5002281 05 VA
institution
Provider Business Practice Location Address Details
Address
1012 Justis St
City
Chesapeake
State
Virginia
Zip
23325-2516
Phone Number
757-523-4659
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Justis St
City
Chesapeake
State
Virginia
Zip
23325-2516
Phone Number
757-523-4659
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Virginia)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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