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Southside Virginia Traninng Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Petersburg, Virginia
NPI 1093794877

Southside Virginia Traninng Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Petersburg, VA. Southside Virginia Traninng Center practices in Petersburg, VA. The NPI Number for Southside Virginia Traninng Center is 1093794877 and holds a License No. 28892 (Virginia).

The current practice location address for Southside Virginia Traninng Center is 26317 W Washington St, Petersburg, VA and can be reached out via phone at 804-524-7209 and via fax at 804-524-7228.

Location: 26317 W Washington St, Petersburg, VA, 23803-0030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093794877
Provider Name
Southside Virginia Traninng Center
Credential
Provider Entity Type
Organization
Address
26317 W Washington St, Petersburg, VA, 23803-0030
Phone Number
804-524-7209
Fax Number
804-524-7228
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
26317 W Washington St
City
Petersburg
State
Virginia
Zip
23803-0030
Phone Number
804-524-7209
Fax Number
804-524-7228
person
Provider Business Mailing Address Details
Address
26317 W Washington St
City
Petersburg
State
Virginia
Zip
23803-0030
Phone Number
804-524-7209
Fax Number
804-524-7228
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
28892 (Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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