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Marcus D Picot
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colonial Heights, Virginia
NPI 1891415527

Marcus D Picot is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Colonial Heights, VA. Marcus D Picot practices in Colonial Heights, VA. The NPI Number for Marcus D Picot is 1891415527 and holds a License No. 4059 (Virginia).

The current practice location address for Marcus D Picot is 118 Hillcrest Ave, Colonial Heights, VA and can be reached out via phone at 757-553-6433.

Location: 118 Hillcrest Ave, Colonial Heights, VA, 23834-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891415527
Provider Name
Marcus D Picot
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 Hillcrest Ave, Colonial Heights, VA, 23834-1428
Phone Number
757-553-6433
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11050626 05 VA
institution
Provider Business Practice Location Address Details
Address
118 Hillcrest Ave
City
Colonial Heights
State
Virginia
Zip
23834-1428
Phone Number
757-553-6433
Fax Number
person
Provider Business Mailing Address Details
Address
118 Hillcrest Ave
City
Colonial Heights
State
Virginia
Zip
23834-1428
Phone Number
757-553-6433
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.
4059 (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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