| The Nissi House | |
|
419 Nevada St Suffolk VA 23434-5829 | |
| (757) 435-0513 | |
| (757) 257-0373 |
| Full Name | The Nissi House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 419 Nevada St, Suffolk, Virginia |
| Authorized Official Name and Position | Jeanette Ruffin (DIRECTOR) |
| Authorized Official Contact | 7574350513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Nissi House 476 Wellons St Suffolk VA 23434-5850 Ph: (757) 435-0513 | The Nissi House 419 Nevada St Suffolk VA 23434-5829 Ph: (757) 435-0513 |
| NPI Number | 1538903950 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538903950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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