Individual provider · Type 1 NPI
Nikita Deloatch
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portsmouth, VA
Practice location
1500 City Park Ave
Portsmouth, VA 23701-2227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 11873 (VA) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
3 other providers at this address
About NPI 1386439974
Nikita Deloatch's National Provider Identifier is 1386439974, issued on Apr 14, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Portsmouth, VA. The record was last updated on Apr 14, 2025.