NPI 1518604677

Moore House, INC

Organisation Intellectual Disabilities Intermediate Care Facility Portsmouth, VA

Practice location

Address: 3608 King St, Portsmouth, VA 23707-3128
Phone: (757) 966-1622
Fax: (757) 966-2802
Mailing address: 4211 County Street Attn: Business Office, Portsmouth, VA 23707-3128

Authorised official

Name: Miranda Frazier
Title: Assistant Chief Administrative Offi
Phone: (757) 966-1622

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Virginia →

Registry record

NPI: 1518604677
Entity type: Organization
NPI issued: 19 May 2022
Record last updated: 19 May 2022

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.