NPI 1750781779

Go Norfolk Dental

Organisation Physical Disabilities Residential Treatment Facility Norfolk, VA

Practice location

Address: 9547 Shore Dr, Norfolk, VA 23518-1711
Phone: (757) 222-0273
Fax: (757) 222-0358

Authorised official

Name: Robert William Howell
Title: Owner
Phone: (757) 423-5892

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 0401006193 (VA)

Other Residential Treatment Facility, Physical Disabilities providers in Virginia →

Registry record

NPI: 1750781779
Entity type: Organization
NPI issued: 27 Aug 2014
Record last updated: 27 Aug 2014

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.