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Grand Anne Residences, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Buena Vista, Virginia
NPI 1568702256

Grand Anne Residences, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Buena Vista, VA. Grand Anne Residences, Llc practices in Buena Vista, VA. The NPI Number for Grand Anne Residences, Llc is 1568702256 and holds a License No. 1952 (Virginia).

The current practice location address for Grand Anne Residences, Llc is 2104 Walnut Ave, Buena Vista, VA and can be reached out via phone at 540-261-2222 and via fax at 540-261-2222.

Location: 2104 Walnut Ave, Buena Vista, VA, 24416-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568702256
Provider Name
Grand Anne Residences, Llc
Credential
Provider Entity Type
Organization
Address
2104 Walnut Ave, Buena Vista, VA, 24416-2738
Phone Number
540-261-2222
Fax Number
540-261-2222
Provider Enumeration Date
02/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952 01 VA DBHDS
institution
Provider Business Practice Location Address Details
Address
2104 Walnut Ave
City
Buena Vista
State
Virginia
Zip
24416-2738
Phone Number
540-261-2222
Fax Number
540-261-2222
person
Provider Business Mailing Address Details
Address
2104 Walnut Ave
City
Buena Vista
State
Virginia
Zip
24416-2738
Phone Number
540-261-2222
Fax Number
540-261-2222
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.
1952 (Virginia)
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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