NPI 1215883897

Re-Creation Residential Group Home Services LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Portsmouth, VA

Practice location

Address: 1303 Fillmore St, Portsmouth, VA 23704-6417
Phone: (215) 252-2996
Fax: (703) 563-2136
Mailing address: 39 Riverview Ave, Portsmouth, VA 23704-1916

Authorised official

Name: Lavanda Flores
Title: Ceo
Phone: (215) 252-2996

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1215883897
Entity type: Organization
NPI issued: 6 Mar 2026
Record last updated: 6 Mar 2026

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.