NPI: 1386687549 · SUFFOLK, VA 23434 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 06/14/2006
| Authorized Official | PERATSAKIS, DEMETRIOS (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/14/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0101 | 12 | 12 | $0.00 |