institution
Cumberland Mountain Community
Intellectual Disabilities Intermediate Care Facility in Keen Mountain, Virginia
NPI 1609916386

Cumberland Mountain Community is a Intellectual Disabilities Intermediate Care Facility based in Cedar Bluff, VA. Cumberland Mountain Community practices in Keen Mountain, VA. The NPI Number for Cumberland Mountain Community is 1609916386 and holds a License No. 09301001 (Virginia).

The current practice location address for Cumberland Mountain Community is Route 696, Keen Mountain, VA and can be reached out via phone at 276-498-4549 and via fax at 276-498-4194.

Location: Route 696, Keen Mountain, VA, 24609
institution
Provider Profile Details
NPI Number
1609916386
Provider Name
Cumberland Mountain Community
Credential
Provider Entity Type
Organization
Address
Route 696, Keen Mountain, VA, 24609
Phone Number
276-498-4549
Fax Number
276-498-4194
Provider Enumeration Date
02/08/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004967810 05 VA
institution
Provider Business Practice Location Address Details
Address
Route 696
City
State
Zip
24624
Phone Number
276-498-4549
Fax Number
276-498-4194
person
Provider Business Mailing Address Details
Address
Route 696
City
State
Zip
24624
Phone Number
276-498-4549
Fax Number
276-498-4194
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
09301001 (Virginia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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