Organization
MOUNTAIN VIEW RESIDENTIAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY MASHELL ANDERSON M.A. (DIRECTOR)
(540) 297-4039
Entity
Organization
Contact information
Practice address
1143 GOLF VIEW CT, HUDDLESTON, VA 24104-4303
(540) 297-4039
Mailing address
1143 GOLF VIEW CT, HUDDLESTON, VA 24104-4303
(540) 297-4039
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
250801001
VA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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