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Southside Virginia Training Center
Intellectual Disabilities Intermediate Care Facility in Petersburg, Virginia
NPI 1154330942

Southside Virginia Training Center is a Intellectual Disabilities Intermediate Care Facility based in Petersburg, VA. Southside Virginia Training Center practices in Petersburg, VA. The NPI Number for Southside Virginia Training Center is 1154330942 and holds a License No. (Virginia).

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

Location: 26317 West Washington Street, Petersburg, VA, 23803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154330942
Provider Name
Southside Virginia Training Center
Credential
Provider Entity Type
Organization
Address
26317 West Washington Street, Petersburg, VA, 23803
Phone Number
804-524-7209
Fax Number
804-524-7228
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
26317 West Washington Street
City
Petersburg
State
Virginia
Zip
23803
Phone Number
804-524-7209
Fax Number
804-524-7228
person
Provider Business Mailing Address Details
Address
26317 West Washington Street
City
Petersburg
State
Virginia
Zip
23803
Phone Number
804-524-7209
Fax Number
804-524-7228
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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