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Piedmont Regional Community Services Board
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Martinsville, Virginia
NPI 1477803070

Piedmont Regional Community Services Board is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Martinsville, VA. Piedmont Regional Community Services Board practices in Martinsville, VA. The NPI Number for Piedmont Regional Community Services Board is 1477803070 and holds a License No. 03801005 (Virginia).

The current practice location address for Piedmont Regional Community Services Board is 26 Booker Road, Martinsville, VA and can be reached out via phone at 276-632-2584 and via fax at 276-632-3110.

Location: 26 Booker Road, Martinsville, VA, 24112-2810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477803070
Provider Name
Piedmont Regional Community Services Board
Credential
Provider Entity Type
Organization
Address
26 Booker Road, Martinsville, VA, 24112-2810
Phone Number
276-632-2584
Fax Number
276-632-3110
Provider Enumeration Date
09/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C04131 01 VA MEDICARE GROUP NUMBER
004945221 05 VA
institution
Provider Business Practice Location Address Details
Address
26 Booker Road
City
Martinsville
State
Virginia
Zip
24112-2810
Phone Number
276-632-2584
Fax Number
276-632-3110
person
Provider Business Mailing Address Details
Address
26 Booker Road
City
Martinsville
State
Virginia
Zip
24112-2810
Phone Number
276-632-2584
Fax Number
276-632-3110
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
03801005 (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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