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Search › Virginia › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Ephraim Cruz

NPI 1811508252 · on the registry since 2020 · sole proprietor

Practice

Address
8027 Camellia Rd
Norfolk, VA 23518
Phone
(757) 227-1105
Fax
(757) 214-6634
Organisation at this address
Camellia House Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Also registered as
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Physical Disabilities Residential Treatment Facility
Non-emergency Medical Transport (VAN)
Private Vehicle
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia