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Ms. Hallie Cornelia Thaxton, BS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rustburg, Virginia
NPI 1396428900

Hallie Cornelia Thaxton is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rustburg, VA. Hallie Cornelia Thaxton practices in Rustburg, VA and has the professional credentials of BS. The NPI Number for Hallie Cornelia Thaxton is 1396428900 and holds a License No. (Virginia).

The current practice location address for Hallie Cornelia Thaxton is 389 Homeplace Rd, Rustburg, VA and can be reached out via phone at 434-942-2298 and via fax at 434-616-2377.

Location: 389 Homeplace Rd, Rustburg, VA, 24588-3792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396428900
Provider Name
Hallie Cornelia Thaxton
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
389 Homeplace Rd, Rustburg, VA, 24588-3792
Phone Number
434-942-2298
Fax Number
434-616-2377
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
389 Homeplace Rd
City
Rustburg
State
Virginia
Zip
24588-3792
Phone Number
434-942-2298
Fax Number
434-616-2377
person
Provider Business Mailing Address Details
Address
389 Homeplace Rd
City
Rustburg
State
Virginia
Zip
24588-3792
Phone Number
434-942-2298
Fax Number
434-616-2377
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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