NPI 1164978656

Camellia House LLC

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

Practice location

Address: 8027 Camellia Rd, Norfolk, VA 23518-3416
Phone: (757) 227-1105

Authorised official

Name: Ephaim Cruz
Title: President/Ceo
Phone: (757) 227-1105

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 2991 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1164978656
Entity type: Organization
NPI issued: 25 Aug 2016
Record last updated: 15 Oct 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.