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Organization
2300 ANGUS LLC
Active
Organization
2300 ANGUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MURRAY (FINANACE MANAGER)
(434) 970-1904
Entity
Organization
Contact information
Practice address
2300 ANGUS RD, CHARLOTTESVILLE, VA 22901-2630
(434) 970-1904
(434) 970-2044
Mailing address
517 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 970-1904
(434) 970-2044
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CRF-317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600894797
—
VA
Enumeration date
04/20/2018
Last updated
04/20/2018
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