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Organization
INFANT AND TODDLER CONNECTION OF THE HEARTLAND
Active
Organization
INFANT AND TODDLER CONNECTION OF THE HEARTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KEN COPELAND (VP, ADMIN & FINANCE & CBO)
(434) 395-2016
Entity
Organization
Contact information
Practice address
315 WEST THIRD STREET, FARMVILLE, VA 23901
(434) 395-2967
Mailing address
PO BOX 197, FARMVILLE, VA 23901
(434) 395-2967
(434) 395-2969
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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