MOORE HOUSE, INC is an intermediate care facility mentally retarded in Portsmouth, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MOORE HOUSE, INC NPI is 1518604677. The provider is registered as an organization entity type.
The provider's business location address is:
3608 KING ST
PORTSMOUTH, VA
ZIP 23707-128
Phone: (757) 966-1622
Fax: (757) 966-2802
The provider's authorized official is Miranda Frazier .
The authorized official title is Assistant Chief Administrative Offi and has the following contact phone number (757) 966-1622.
The CLIA number assigned to this NPI record is 49D2238906 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/19/2022 and was last updated on 5/19/2022.