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Theresa'-venia, Llc
Intellectual Disabilities Intermediate Care Facility in Portsmouth, Virginia
NPI 1891863973

Theresa'-venia, Llc is a Intellectual Disabilities Intermediate Care Facility based in Chesapeake, VA. Theresa'-venia, Llc practices in Portsmouth, VA. The NPI Number for Theresa'-venia, Llc is 1891863973 and holds a License No. (Virginia).

The current practice location address for Theresa'-venia, Llc is 1536 Centre Ave, Portsmouth, VA and can be reached out via phone at 757-967-9545.

Location: 1536 Centre Ave, Portsmouth, VA, 23321-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891863973
Provider Name
Theresa'-venia, Llc
Credential
Provider Entity Type
Organization
Address
1536 Centre Ave, Portsmouth, VA, 23321-2140
Phone Number
757-967-9545
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000005002 01 VA TRACKING NO
institution
Provider Business Practice Location Address Details
Address
1536 Centre Ave
City
Portsmouth
State
Virginia
Zip
23704-6802
Phone Number
757-967-9545
Fax Number
person
Provider Business Mailing Address Details
Address
1536 Centre Ave
City
Portsmouth
State
Virginia
Zip
23704-6802
Phone Number
757-967-9545
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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