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Commonwealth Of Virginia Hiram W Davis Medical Center
Mental Illness Intermediate Care Facility in Petersburg, Virginia
NPI 1447362660

Commonwealth Of Virginia Hiram W Davis Medical Center is a Mental Illness Intermediate Care Facility based in Petersburg, VA. Commonwealth Of Virginia Hiram W Davis Medical Center practices in Petersburg, VA. The NPI Number for Commonwealth Of Virginia Hiram W Davis Medical Center is 1447362660 and holds a License No. (Virginia).

The current practice location address for Commonwealth Of Virginia Hiram W Davis Medical Center is Albemarle And 7Th Streets, Petersburg, VA and can be reached out via phone at 804-524-7344 and via fax at 804-524-7148.

Location: Albemarle And 7Th Streets, Petersburg, VA, 23803-0030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447362660
Provider Name
Commonwealth Of Virginia Hiram W Davis Medical Center
Credential
Provider Entity Type
Organization
Address
Albemarle And 7Th Streets, Petersburg, VA, 23803-0030
Phone Number
804-524-7344
Fax Number
804-524-7148
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4967615 05 VA
institution
Provider Business Practice Location Address Details
Address
Albemarle And 7Th Streets
City
Petersburg
State
Virginia
Zip
23803-0030
Phone Number
804-524-7344
Fax Number
804-524-7148
person
Provider Business Mailing Address Details
Address
Albemarle And 7Th Streets
City
Petersburg
State
Virginia
Zip
23803-0030
Phone Number
804-524-7344
Fax Number
804-524-7148
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
(Virginia)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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