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Chudney Latisha Anderson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hurt, Virginia
NPI 1891572970

Chudney Latisha Anderson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hurt, VA. Chudney Latisha Anderson practices in Hurt, VA. The NPI Number for Chudney Latisha Anderson is 1891572970 and holds a License No. 8561-08-011 (Virginia).

The current practice location address for Chudney Latisha Anderson is 16212 Rockford School Road, Hurt, VA and can be reached out via phone at 434-856-2893.

Location: 16212 Rockford School Road, Hurt, VA, 24563-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891572970
Provider Name
Chudney Latisha Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
16212 Rockford School Road, Hurt, VA, 24563-2708
Phone Number
434-856-2893
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16212 Rockford School Road
City
Hurt
State
Virginia
Zip
24563-2708
Phone Number
434-856-2893
Fax Number
person
Provider Business Mailing Address Details
Address
16212 Rockford School Road
City
Hurt
State
Virginia
Zip
24563-2708
Phone Number
434-856-2893
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
8561-08-011 (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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