OrganizationActive
Camellia House LLC
NPI 1164978656 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Norfolk, VA
Provider details
- NPI number
- 1164978656
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Ephaim Cruz, President/Ceo
- License
- 2991 (VA)
Mailing address
8027 Camellia Rd
Norfolk, VA 23518-3416
Registry dates
- Enumerated
- 2016-08-25
- Last updated
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.