Organization
COMPASSIONATE CONNECTIONS SPONSORED RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE THAXTON BA (CEO)
(434) 942-2298
Entity
Organization
Contact information
Practice address
161 TALLYHO RD, CONCORD, VA 24538-2285
(434) 942-2298
Mailing address
389 HOMEPLACE RD, RUSTBURG, VA 24588-3792
(434) 942-2298
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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