EASTERN GROVE SUPPORT LLC – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1700694320
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Profile Insights
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Provider Addresses for EASTERN GROVE SUPPORT LLC
355 CRAWFORD ST
PORTSMOUTH, VA 237042816
Phone: (757) 392-9337
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 23704)
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