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NPI Code Detail

MEDICARE: SISTER'S CHOICE, INC.

MEDICARE: SISTER'S CHOICE, 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility1870-01-001VA

General Provider Information

NPI Number : 1215275672
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTER'S CHOICE, INC.
Provider Business Mailing Address
First Line : 5072 ANDOVER RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6020
Country : US
Telephone Number : 757-650-1154
Fax Number : 757-802-9531
Provider Business Practice Location Address
First Line : 5072 ANDOVER RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6020
Country : US
Telephone Number : 757-650-1154
Fax Number : 757-802-9531
Authorized Official
Title or Position : CO-OWNER
Name : MS. ANN WELCH
Credential :
Telephone Number : 757-650-1154
Provider Enumeration Date : 01/19/2013
Last Update Date : 01/19/2013

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Directions to “SISTER'S CHOICE, INC. ” Practice Location

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