Organization
MELISSA ROBBINS
Active
Other names
Serenity Waiver Transition Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROBBINS (OWNER/SERVICE FACILITATOR)
(276) 780-2393
Entity
Organization
Contact information
Practice address
643 BROOKS LN, SUGAR GROVE, VA 24375-3187
(276) 780-2393
(877) 840-5216
Mailing address
643 BROOKS LN, SUGAR GROVE, VA 24375-3187
(276) 780-2393
(877) 840-5216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619628872
—
VA
Enumeration date
07/30/2022
Last updated
07/30/2022
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