Organization
BELMONT RESIDENTIAL INN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA J. MOORE (DIRECTOR)
(540) 898-2820
Entity
Organization
Contact information
Practice address
406 ALBANY ST, FREDERICKSBURG, VA 22407-6386
(540) 898-2820
(540) 785-8427
Mailing address
111 OLDE GREENWICH DR, SUITE 102, FREDERICKSBURG, VA 22408-4007
(540) 898-2820
(540) 785-8427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1642-01-001
VA
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
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