Indian River Residential Care Community

Practice location

Address

1012 Justis St, Chesapeake, VA 23325-2516

Phone

(757) 523-4659

Mailing address

PO Box 1487, Kernersville, NC 27285-1487

Authorised official

Name

Guy S Pierce

Title

Managing Member

Phone

(336) 595-1075

Registered specialties

Registry record

NPI

1578639654

Entity type

Organization

NPI issued

28 Nov 2006

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.