institution
Immaculate Care Residential Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia
NPI 1598235731

Immaculate Care Residential Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portsmouth, VA. Immaculate Care Residential Services Llc practices in Portsmouth, VA. The NPI Number for Immaculate Care Residential Services Llc is 1598235731 and holds a License No. (Virginia).

The current practice location address for Immaculate Care Residential Services Llc is 5935 Knightsbridge Way, Portsmouth, VA and can be reached out via phone at 757-335-2404.

Location: 5935 Knightsbridge Way, Portsmouth, VA, 23703-5506
institution
Provider Profile Details
NPI Number
1598235731
Provider Name
Immaculate Care Residential Services Llc
Credential
Provider Entity Type
Organization
Address
5935 Knightsbridge Way, Portsmouth, VA, 23703-5506
Phone Number
757-335-2404
Fax Number
Provider Enumeration Date
11/30/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5935 Knightsbridge Way
City
State
Zip
23703-5506
Phone Number
757-335-2404
Fax Number
person
Provider Business Mailing Address Details
Address
5935 Knightsbridge Way
City
State
Zip
23703-5506
Phone Number
757-335-2404
Fax Number
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.
()
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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