Whalio Doctors

NPI 1629410402

Born Again Ministries

Organisation PACE Provider Organization Norfolk, VA

Practice location

Address
2545 Murray Ave, Norfolk, VA 23518-4521
Phone
(804) 439-1212
Fax
(755) 333-6380
Mailing address
PO Box 7101, Norfolk, VA 23509-0101

Authorised official

Name
John C. Brisco
Title
Chief Executive Oficer
Phone
(804) 439-1212

Registered specialties

Registry record

NPI
1629410402
Entity type
Organization
NPI issued
22 Jul 2013
Record last updated
19 Dec 2013

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.