Organization · Type 2 NPI

Phoenix Aspiration System of Care LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portsmouth, VA

NPI number 1306096649 Active

Practice location

2710 Elm Ave
Portsmouth, VA 23704-7013

Fax (757) 393-5853

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	731-01-001 (VA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1306096649

Phoenix Aspiration System of Care LLC's National Provider Identifier is 1306096649, issued on Sep 23, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Portsmouth, VA. The record was last updated on Sep 23, 2008.