Organization · Type 2 NPI
The Peninsula Community Care Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Newport News, VA
Practice location
913 Charlotte Dr
Newport News, VA 23601-1070
Fax (757) 401-6492
Mailing address
10 Castle Haven Rd
Hampton, VA 23666-6032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 2327 (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 1821491986
The Peninsula Community Care Center's National Provider Identifier is 1821491986, issued on Oct 3, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Newport News, VA. The record was last updated on Oct 3, 2014.