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NPI Code Detail

MEDICARE: OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC

MEDICARE: OUR LADY OF PERPETUAL HELP HEALTH CENTER, 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
1313M00000XNursing Facility/Intermediate Care FacilityNH2623VA

General Provider Information

NPI Number : 1063437010
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-495-4211
Fax Number :
Provider Business Practice Location Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-495-4211
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : LORYN DUNCAN-MARCIL
Credential :
Telephone Number : 757-495-4211
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/22/2020

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Directions to “OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC ” Practice Location

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