MEDICARE: NEIGHBOR TO FAMILY, 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
1	1041C0700X	Clinical Social Worker	897	VA

General Provider Information

NPI Number	:	1700116464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBOR TO FAMILY, INC

Provider Business Mailing Address
First Line	:	1300 DIAMOND SPRINGS RD
Second Line	:	SUITE 502
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-3645
Country	:	US
Telephone Number	:	757-213-1580
Fax Number	:	757-213-1599

Provider Business Practice Location Address
First Line	:	1300 DIAMOND SPRINGS RD
Second Line	:	SUITE 502
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-3645
Country	:	US
Telephone Number	:	757-213-1580
Fax Number	:	757-213-1599

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. N. CLARK EARL
Credential	:
Telephone Number	:	757-213-1580

Provider Enumeration Date	:	12/31/2009
Last Update Date	:	12/31/2009

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