Moore House, INC
NPI #1518604677 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1518604677
- Entity Type
- Organization
- Organization Name
- Moore House, INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 19, 2022
- Last Updated
- May 19, 2022
Practice Location
- Address
- 3608 KING ST
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23707-3128
- Phone
- (757) 966-1622
Authorized Official
- Name
- MS. MIRANDA FRAZIER
- Title
- ASSISTANT CHIEF ADMINISTRATIVE OFFI
- Phone
- (757) 966-1622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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