Our Summer Place,llc
NPI #1194839704 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1194839704
- Entity Type
- Organization
- Organization Name
- Our Summer Place,llc
- Primary Specialty
- Point of Service
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 3511 BLAINE ST
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23703-3115
- Phone
- (757) 483-4880
Authorized Official
- Name
- MRS. ZATERA A SPENCER
- Title
- OWNER/ADMINISTRATOR
- Phone
- (757) 966-9978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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