NPI: 1578639654
Provider Name: INDIAN RIVER RESIDENTIAL CARE COMMUNITY
Doing Business As: DBA INDIAN RIVER RETIREMENT COMMUNITY, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization
Specialization: Adult Care Home
Address:
1012 JUSTIS ST
CHESAPEAKE, VA
ZIP 23325
Phone: (757) 523-4659
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INDIAN RIVER RESIDENTIAL CARE COMMUNITY is an adult care home custodial care facility in Chesapeake, VA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. INDIAN RIVER RESIDENTIAL CARE COMMUNITY NPI is 1578639654. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Indian River Retirement Community, Llc.
The provider's business location address is:
1012 JUSTIS ST
CHESAPEAKE, VA
ZIP 23325-516
Phone: (757) 523-4659
The provider's authorized official is Guy S Pierce .
The authorized official title is Managing Member and has the following contact phone number (336) 595-1075.
The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.