NPI 1225800956
Asoca
Practice location
- Address
- 4410 East Claiborne Street, Suite 334, Hampton, VA 23666
- Phone
- (757) 768-3903
- Mailing address
- 142 Marcella Rd, Hampton, VA 23666-2552
Authorised official
- Name
- Jacqueline Benita Lipford-Rainey
- Title
- Co-Owner
- Phone
- (757) 768-3903
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1225800956
- Entity type
- Organization
- NPI issued
- 25 Oct 2023
- Record last updated
- 25 Oct 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.