Organization
EAGLES NEST REGENERATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT HINSON MA, CSAC (CLINICAL DIRECTOR)
(540) 745-4001
Entity
Organization
Contact information
Practice address
148 REHOBOTH LN NE, FLOYD, VA 24091-1130
(540) 745-4001
Mailing address
148 REHOBOTH LN NE, FLOYD, VA 24091-1130
(540) 745-4001
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
VA
Other
Enumeration date
05/13/2014
Last updated
09/04/2025
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