institution
Chesterfield Community Services Board - Icf Pine Forest
Intellectual Disabilities Intermediate Care Facility in Chesterfield, Virginia
NPI 1033397542

Chesterfield Community Services Board - Icf Pine Forest is a Intellectual Disabilities Intermediate Care Facility based in Chesterfield, VA. Chesterfield Community Services Board - Icf Pine Forest practices in Chesterfield, VA. The NPI Number for Chesterfield Community Services Board - Icf Pine Forest is 1033397542 and holds a License No. 222-17-001 (Virginia).

The current practice location address for Chesterfield Community Services Board - Icf Pine Forest is 6801 Lucy Corr Ct, Chesterfield, VA and can be reached out via phone at 804-748-1227 and via fax at 804-717-6659.

Location: 6801 Lucy Corr Ct, Chesterfield, VA, 23832-6657
institution
Provider Profile Details
NPI Number
1033397542
Provider Name
Chesterfield Community Services Board - Icf Pine Forest
Credential
Provider Entity Type
Organization
Address
6801 Lucy Corr Ct, Chesterfield, VA, 23832-6657
Phone Number
804-748-1227
Fax Number
804-717-6659
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 VA
institution
Provider Business Practice Location Address Details
Address
6801 Lucy Corr Ct
City
State
Zip
23832-6657
Phone Number
804-748-1227
Fax Number
804-717-6659
person
Provider Business Mailing Address Details
Address
6801 Lucy Corr Ct
City
State
Zip
23832-6657
Phone Number
804-748-1227
Fax Number
804-717-6659
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
222-17-001 (Virginia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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