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Lottie-estelle Group Home, Inc
Intellectual Disabilities Intermediate Care Facility in Chase City, Virginia
NPI 1053748954

Lottie-estelle Group Home, Inc is a Intellectual Disabilities Intermediate Care Facility based in Chase City, VA. Lottie-estelle Group Home, Inc practices in Chase City, VA. The NPI Number for Lottie-estelle Group Home, Inc is 1053748954 and holds a License No. 808 (Virginia).

The current practice location address for Lottie-estelle Group Home, Inc is 4897 Hwy 47, Chase City, VA and can be reached out via phone at 434-372-0407 and via fax at 434-372-0394.

Location: 4897 Hwy 47, Chase City, VA, 23924-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053748954
Provider Name
Lottie-estelle Group Home, Inc
Credential
Provider Entity Type
Organization
Address
4897 Hwy 47, Chase City, VA, 23924-3606
Phone Number
434-372-0407
Fax Number
434-372-0394
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4897 Hwy 47
City
Chase City
State
Virginia
Zip
23924-3606
Phone Number
434-372-0407
Fax Number
434-372-0394
person
Provider Business Mailing Address Details
Address
4897 Hwy 47
City
Chase City
State
Virginia
Zip
23924-3606
Phone Number
434-372-0407
Fax Number
434-372-0394
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
808 (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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