| NPI | 1639513781 |
|---|---|
| Doing Business As | INDIAN RIVER ICF/IID |
| Entity Type | Organization |
| Authorized Contact | MARGARET G BAILEY Reimbursement Manager 757-385-0687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: VA 26101001) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-04-18 |