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Organization

CUMBERLAND MOUNTAIN COMMUNITY

Active
Parent organization
MOUNTAINVIEW ICF
Other names
Mountainview ICF
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNTAINVIEW ICF
Authorized official
MARY F COLE LCSW (MENTAL RETARDATION DIRECTOR)
(276) 964-6702
Entity
Organization

Contact information

Practice address
ROUTE 680, KEEN MOUNTAIN, VA 24624
(276) 498-7900
(276) 498-1958
Mailing address
PO BOX 810, CEDAR BLUFF, VA 24609
(279) 964-6702
(276) 964-5669

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
09301001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010114993
VA
Enumeration date
02/09/2007
Last updated
03/21/2024
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