Organization
SUSAN HART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ELEANOR HART (SERVICE FACILITATOR)
(276) 233-3857
Entity
Organization
Contact information
Practice address
3403 OLD BAYWOOD RD, GALAX, VA 24333-2090
(276) 233-3857
(877) 796-7235
Mailing address
3403 OLD BAYWOOD RD, GALAX, VA 24333-2090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
07/19/2024
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