Organization
MCKINNEY'S RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MCKINNEY (DIRECTOR)
(434) 525-3678
Entity
Organization
Contact information
Practice address
1150 COLBY DR, FOREST, VA 24551-1697
(434) 525-3678
(434) 525-3679
Mailing address
1150 COLBY DR, FOREST, VA 24551-1697
(434) 525-3678
(434) 525-3679
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1107-01-001
VA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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