NPI 1003255902

Kemetic Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Norfolk, VA

Practice location

Address: 5635 Raby Rd STE D, Norfolk, VA 23502-2465
Phone: (757) 337-3968
Fax: (757) 306-1116
Mailing address: 608 S Claypool CT, Virginia Beach, VA 23464-2506

Authorised official

Name: Alexander Moore
Title: Ceo
Phone: (302) 423-8870

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1003255902
Entity type: Organization
NPI issued: 24 Jun 2013
Record last updated: 28 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.