| 5 Star Residential Care | |
|
5024 Kelso St Suffolk VA 23435-2391 | |
| (336) 926-0133 | |
| Not Available |
| Full Name | 5 Star Residential Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5024 Kelso St, Suffolk, Virginia |
| Authorized Official Name and Position | Samuel Baptist (DIRECTOR) |
| Authorized Official Contact | 3369260133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Residential Care 3116 Bunch Walnuts Rd Chesapeake VA 23322-2904 Ph: (757) 204-4655 | 5 Star Residential Care 5024 Kelso St Suffolk VA 23435-2391 Ph: (336) 926-0133 |
| NPI Number | 1023460342 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023460342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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