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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