IDA MAEZ ADULT LIVING LLC

PORTSMOUTH, VA
NPI1912688664
Entity TypeOrganization
Authorized ContactDONISE ANDERSON
CEO
757-771-9879
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Enumeration Date2023-07-26
Last Update Date2023-07-26
Business Address
IDA MAEZ ADULT LIVING LLC
4824 GEORGE WASHINGTON HWY
PORTSMOUTH, VA 23702-2410
Phone number: 757-537-0334
Mailing Address
IDA MAEZ ADULT LIVING LLC
100 7TH ST STE 104
PORTSMOUTH, VA 23704-4800
Phone number: 757-771-9879
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