institution
Shepherds Lodge Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portsmouth, Virginia
NPI 1689687832

Shepherds Lodge Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Portsmouth, VA. Shepherds Lodge Inc. practices in Portsmouth, VA. The NPI Number for Shepherds Lodge Inc. is 1689687832 and holds a License No. 701 (Virginia).

The current practice location address for Shepherds Lodge Inc. is 3337 Killian Ave, Portsmouth, VA and can be reached out via phone at 757-393-3408 and via fax at 757-397-0316.

Location: 3337 Killian Ave, Portsmouth, VA, 23704-6024
institution
Provider Profile Details
NPI Number
1689687832
Provider Name
Shepherds Lodge Inc.
Credential
Provider Entity Type
Organization
Address
3337 Killian Ave, Portsmouth, VA, 23704-6024
Phone Number
757-393-3408
Fax Number
757-397-0316
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3337 Killian Ave
City
State
Zip
23704-6024
Phone Number
757-393-3408
Fax Number
757-397-0316
person
Provider Business Mailing Address Details
Address
3337 Killian Ave
City
State
Zip
23704-6024
Phone Number
757-393-3408
Fax Number
757-397-0316
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
701 (Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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