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Southside Behavioral Health - Brandon Home
Intellectual Disabilities Intermediate Care Facility in South Boston, Virginia
NPI 1912252958

Southside Behavioral Health - Brandon Home is a Intellectual Disabilities Intermediate Care Facility based in Clarksville, VA. Southside Behavioral Health - Brandon Home practices in South Boston, VA. The NPI Number for Southside Behavioral Health - Brandon Home is 1912252958 and holds a License No. (Virginia).

The current practice location address for Southside Behavioral Health - Brandon Home is 51 Poplar Creek St, South Boston, VA and can be reached out via phone at 434-575-7707 and via fax at 434-575-7723.

Location: 51 Poplar Creek St, South Boston, VA, 23927-1478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912252958
Provider Name
Southside Behavioral Health - Brandon Home
Credential
Provider Entity Type
Organization
Address
51 Poplar Creek St, South Boston, VA, 23927-1478
Phone Number
434-575-7707
Fax Number
434-575-7723
Provider Enumeration Date
07/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 Poplar Creek St
City
South Boston
State
Virginia
Zip
24592-5346
Phone Number
434-575-7707
Fax Number
434-575-7723
person
Provider Business Mailing Address Details
Address
51 Poplar Creek St
City
South Boston
State
Virginia
Zip
24592-5346
Phone Number
434-575-7707
Fax Number
434-575-7723
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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