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Halo, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Petersburg, Virginia
NPI 1982677027

Halo, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Petersburg, VA. Halo, Inc. practices in Petersburg, VA. The NPI Number for Halo, Inc. is 1982677027 and holds a License No. 523-01 (Virginia).

The current practice location address for Halo, Inc. is 1857A Fort Mahone St, Petersburg, VA and can be reached out via phone at 804-733-9140 and via fax at 804-733-9216.

Location: 1857A Fort Mahone St, Petersburg, VA, 23805-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982677027
Provider Name
Halo, Inc.
Credential
Provider Entity Type
Organization
Address
1857A Fort Mahone St, Petersburg, VA, 23805-2761
Phone Number
804-733-9140
Fax Number
804-733-9216
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1857A Fort Mahone St
City
Petersburg
State
Virginia
Zip
23805-2761
Phone Number
804-733-9140
Fax Number
804-733-9216
person
Provider Business Mailing Address Details
Address
1857A Fort Mahone St
City
Petersburg
State
Virginia
Zip
23805-2761
Phone Number
804-733-9140
Fax Number
804-733-9216
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.
523-01 (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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