| Hampton Roads Ecumenical Lodgings And Provisions, Inc. | |
|
1320 Lasalle Ave Hampton VA 23669-3801 | |
| (757) 727-2577 | |
| (757) 723-0469 |
| Full Name | Hampton Roads Ecumenical Lodgings And Provisions, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1320 Lasalle Ave, Hampton, Virginia |
| Authorized Official Name and Position | Cheryl Marie Robida (CLIENT SERVICES COORDINATOR) |
| Authorized Official Contact | 7577272577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Ecumenical Lodgings And Provisions, Inc. 132 Maple Ave Newport News VA 23607-5542 Ph: (757) 245-0529 | Hampton Roads Ecumenical Lodgings And Provisions, Inc. 1320 Lasalle Ave Hampton VA 23669-3801 Ph: (757) 727-2577 |
| NPI Number | 1245478221 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245478221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 0024166077 (Virginia) | Primary |
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