Organization
VALLEY COMMUNITY SERVICES BOARD
Active
Other names
Grandview Residence
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L FITZGERALD (QM DIRECTOR)
(540) 213-7380
Entity
Organization
Contact information
Practice address
1206 RED TOP ORCHARD RD, WAYNESBORO, VA 22980-7437
(540) 887-3200
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
10501001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099790
—
VA
Enumeration date
01/19/2007
Last updated
06/10/2022
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