Organization
CRC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE LYNN PERKINS LPN (LPN)
(276) 963-3554
Entity
Organization
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 963-3554
Mailing address
366 SHORTTS RD, RAVEN, VA 24639-9455
(276) 963-5518
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
0002052423
VA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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