# INFANT AND TODDLER CONNECTION OF THE HEARTLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962911990
- **Authorized official:** MR. PAUL KEN COPELAND (VP, ADMIN & FINANCE & CBO)
- **Authorized official phone:** (434) 395-2016

## Contact information

- **Practice address:** 315 WEST THIRD STREET, FARMVILLE, VA 23901
- **Practice address phone:** (434) 395-2967
- **Mailing address:** PO BOX 197, FARMVILLE, VA 23901
- **Mailing address phone:** (434) 395-2967
- **Mailing address fax:** (434) 395-2969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 09/21/2017