Organization
JUNCTION CENTER FOR INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON STACEY (PROGRAM DIRECTOR)
(276) 524-4081
Entity
Organization
Contact information
Practice address
1520 3RD AVE E, BIG STONE GAP, VA 24219-3114
(276) 524-4081
(276) 524-1510
Mailing address
1520 3RD AVE E, BIG STONE GAP, VA 24219-3114
(276) 524-4081
(276) 524-1510
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
008744041
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008743908
—
VA
05
—
008744041
—
VA
05
—
1376761304
—
VA
Enumeration date
04/23/2007
Last updated
01/24/2024
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