Provider Demographics
NPI:1083704316
Name:WARRINGTON INVESTMENTS
Entity Type:Organization
Organization Name:WARRINGTON INVESTMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIONISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-675-7722
Mailing Address - Street 1:PO BOX 12056
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23541-0056
Mailing Address - Country:US
Mailing Address - Phone:757-675-7722
Mailing Address - Fax:
Practice Address - Street 1:424 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5428
Practice Address - Country:US
Practice Address - Phone:757-923-4117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA54320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004947177Medicaid