NPI 1053017814
Cre8forlife
Practice location
- Address
- 149 Nautico Way, Portsmouth, VA 23703-5470
- Phone
- (757) 339-2995
Authorised official
- Name
- Shirley Davis
- Title
- Ceo
- Phone
- (757) 339-2995
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1053017814
- Entity type
- Organization
- NPI issued
- 3 Feb 2023
- Record last updated
- 3 Feb 2023
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.