NPI 1154305027

Province Place of Maryview

Organisation Assisted Living Facility Portsmouth, VA

Practice location

Address: 1 Bon Secours Way, Portsmouth, VA 23703-4533
Phone: (757) 686-9100
Fax: (757) 686-9200

Authorised official

Name: Osman Lambiro
Title: Director
Phone: (757) 686-9100

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ELO2005-574 (VA)

Other Assisted Living Facility providers in Virginia →

Registry record

NPI: 1154305027
Entity type: Organization
NPI issued: 2 Dec 2005
Record last updated: 22 Aug 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.