NPI Index

EPHRAIM CRUZ

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1811508252

Practice Address

8027 CAMELLIA RD
Norfolk, VA 23518

Phone: (757) 227-1105

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Residential Treatment Facility, Physical Disabilities 320700000X No -
Non-emergency Medical Transport (VAN) 343900000X No -
Private Vehicle 347C00000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X Yes 29911 (VA)

Frequently Asked Questions

NPI 1811508252 is the National Provider Identifier for EPHRAIM CRUZ, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Norfolk, VA. This NPI was enumerated on August 10, 2020.
EPHRAIM CRUZ practices at 8027 CAMELLIA RD, Norfolk, VA 23518.

Quick Facts

NPI
1811508252
Type
Individual
Enumerated
Aug 10, 2020
Last Updated
Aug 10, 2020

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