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Hettie's Haven,llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Coeburn, Virginia
NPI 1740705177

Hettie's Haven,llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Coeburn, VA. Hettie's Haven,llc practices in Coeburn, VA. The NPI Number for Hettie's Haven,llc is 1740705177 and holds a License No. 2839-01-001 (Virginia).

The current practice location address for Hettie's Haven,llc is 12108 Retford Rd, Coeburn, VA and can be reached out via phone at 276-393-2530.

Location: 12108 Retford Rd, Coeburn, VA, 24230-5910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740705177
Provider Name
Hettie's Haven,llc
Credential
Provider Entity Type
Organization
Address
12108 Retford Rd, Coeburn, VA, 24230-5910
Phone Number
276-393-2530
Fax Number
Provider Enumeration Date
08/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12108 Retford Rd
City
Coeburn
State
Virginia
Zip
24230-5910
Phone Number
276-393-2530
Fax Number
person
Provider Business Mailing Address Details
Address
12108 Retford Rd
City
Coeburn
State
Virginia
Zip
24230-5910
Phone Number
276-393-2530
Fax Number
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.
2839-01-001 (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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