Organization
GLENDA'S CD SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA BERNICE MITCHELL (SERVICE FACILITATOR)
(276) 952-8693
Entity
Organization
Contact information
Practice address
901 GRACELAND DR, BASSETT, VA 24055-3564
(276) 952-8693
Mailing address
901 GRACELAND DR, BASSETT, VA 24055-3564
(276) 952-8693
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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