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NPI Code Detail

MEDICARE: FAMILY REDIRECTION INSTITUTE, INC.

MEDICARE: FAMILY REDIRECTION INSTITUTE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency33305001VA

General Provider Information

NPI Number : 1578651501
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY REDIRECTION INSTITUTE, INC.
Provider Business Mailing Address
First Line : 13195 WARWICK BLVD STE 2C
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-8313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13195 WARWICK BLVD STE 2C
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-8313
Country : US
Telephone Number : 757-877-7090
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JEFFREY L MOORE
Credential :
Telephone Number : 757-877-7090
Provider Enumeration Date : 10/11/2006
Last Update Date : 08/22/2020

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Directions to “FAMILY REDIRECTION INSTITUTE, INC. ” Practice Location

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