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Organization
CAPRICCIO ELITE, LLC
Active
Organization
CAPRICCIO ELITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZI L HIATT MS, CSAC (EXECUTIVE DIRECTOR)
(276) 221-0023
Entity
Organization
Contact information
Practice address
209 W OLDTOWN ST, GALAX, VA 24333-3819
(276) 237-8210
Mailing address
209 W OLDTOWN ST, GALAX, VA 24333-3819
(276) 221-0023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
05/31/2017
Last updated
04/06/2022
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