Individual provider · Type 1 NPI

Ephraim Cruz

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

NPI number 1811508252 Active

Practice location

8027 Camellia Rd
Norfolk, VA 23518-3416

Call (757) 227-1105 Map

Fax (757) 214-6634

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X29911 (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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Norfolk

See all in Norfolk →

About NPI 1811508252

Ephraim Cruz's National Provider Identifier is 1811508252, issued on Aug 10, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Norfolk, VA. The record was last updated on Aug 10, 2020.