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Organization
CIVITAS PARA VITA LIMITED LIABILITY CO
Active
Organization
CIVITAS PARA VITA LIMITED LIABILITY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SIOTIA BEATRICE HURDLE (OWNER)
(434) 917-1211
Entity
Organization
Contact information
Practice address
875 IRON BRIDGE RD, LAWRENCEVILLE, VA 23868-3937
(434) 917-1211
Mailing address
875 IRON BRIDGE RD, LAWRENCEVILLE, VA 23868-3937
(434) 917-1211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
11/21/2024
Last updated
04/22/2025
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