Organization · Type 2 NPI

Shepherds Lodge Inc.

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

NPI number 1689687832 Active

Practice location

3337 Killian Ave
Portsmouth, VA 23704-6024

Fax (757) 397-0316

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	701 (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.

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About NPI 1689687832

Shepherds Lodge Inc.'s National Provider Identifier is 1689687832, issued on Aug 15, 2006. 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 Aug 22, 2020.