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Nirvana Residential Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Forest, Virginia
NPI 1194225037

Nirvana Residential Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Forest, VA. Nirvana Residential Services Llc practices in Forest, VA. The NPI Number for Nirvana Residential Services Llc is 1194225037 and holds a License No. (Virginia).

The current practice location address for Nirvana Residential Services Llc is 1325 Smartview Ln, Forest, VA and can be reached out via phone at 434-237-7717 and via fax at 434-237-5668.

Location: 1325 Smartview Ln, Forest, VA, 24551-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194225037
Provider Name
Nirvana Residential Services Llc
Credential
Provider Entity Type
Organization
Address
1325 Smartview Ln, Forest, VA, 24551-1099
Phone Number
434-237-7717
Fax Number
434-237-5668
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1325 Smartview Ln
City
Forest
State
Virginia
Zip
24551-1099
Phone Number
434-237-7717
Fax Number
434-237-5668
person
Provider Business Mailing Address Details
Address
1325 Smartview Ln
City
Forest
State
Virginia
Zip
24551-1099
Phone Number
434-237-7717
Fax Number
434-237-5668
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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