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NPI Code Detail

MEDICARE: EAST COAST FAMILY SERVICES

MEDICARE: EAST COAST FAMILY SERVICES
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
1251S00000XCommunity/Behavioral Health Agency2405VA

General Provider Information

NPI Number : 1053868232
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST COAST FAMILY SERVICES
Provider Business Mailing Address
First Line : 999 WATERSIDE DRIVE
Second Line :
City : NORFOLK
State : VA
Zip : 23510-3300
Country : US
Telephone Number : 757-535-8654
Fax Number :
Provider Business Practice Location Address
First Line : 999 WATERSIDE DR
Second Line : SUITE 2525
City : NORFOLK
State : VA
Zip : 23510-3300
Country : US
Telephone Number : 757-535-8654
Fax Number :
Authorized Official
Title or Position : CEO/DIRECTOR
Name : MR. JAMAR LEVELL JOHNSON
Credential :
Telephone Number : 757-535-8654
Provider Enumeration Date : 09/06/2016
Last Update Date : 09/06/2016

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Directions to “EAST COAST FAMILY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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